Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02271 | Date 18/07/2022 |
| Token No | SM/22-23/4425 14/11/2022 | Serial | 057 |
| Patient Name | Mrs. DEEPALI BHUYIA | Contact No | 7044150586 |
| Address | HARIJAN BASTI SERAMPORE 712203 | Age | 25 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||