Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03258 | Date 25/11/2022 |
| Token No | SM/22-23/4753 25/11/2022 | Serial | 040 |
| Patient Name | Mrs. RINKI DAS | Contact No | 827484940 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 34 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||