Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00055 | Date 09/09/2019 |
| Token No | SM/22-23/4419 14/11/2022 | Serial | 051 |
| Patient Name | Mrs. RATNA DEY | Contact No | 9088657182 |
| Address | 65/15 PRABASHNAGAR SERAMPORE 712249 | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||