Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01500 | Date 27/04/2020 |
| Token No | SM/22-23/473 10/06/2022 | Serial | 033 |
| Patient Name | Mrs. RUPA MUKHERJEE | Contact No | 9088520257 |
| Address | 36/B PRABASHNAGAR SERAMPORE 712249 | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||