Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03136 | Date 14/11/2022 |
| Token No | SM/22-23/4383 14/11/2022 | Serial | 015 |
| Patient Name | Mrs. GOURI SHAW | Contact No | 9874722519 |
| Address | 166 NEW MAHESH SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||