Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03076 | Date 07/11/2022 |
| Token No | SM/22-23/4143 07/11/2022 | Serial | 042 |
| Patient Name | Mrs. SANTANA DAS | Contact No | |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||