Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03197 | Date 19/11/2022 |
| Token No | SM/22-23/4574 19/11/2022 | Serial | 019 |
| Patient Name | Mrs. TUMPA DAS | Contact No | 8697277274 |
| Address | 2 NEW MAHESH SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||