Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03204 | Date 19/11/2022 |
| Token No | SM/22-23/4583 19/11/2022 | Serial | 028 |
| Patient Name | Mrs. KALPANA DAS | Contact No | 9830848458 |
| Address | 65/25/23 PRABASHNAGAR SERAMPORE 712249 | Age | 18 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||