Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03104 | Date 10/11/2022 |
| Token No | SM/22-23/4240 10/11/2022 | Serial | 013 |
| Patient Name | Mrs. LAKHIYA DEVI | Contact No | 9801762155 |
| Address | 10 B B GHOSH ROAD SERAMPORE 712203 | Age | 42 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||