Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02047 | Date 24/06/2022 |
| Token No | SM/22-23/4754 26/11/2022 | Serial | 001 |
| Patient Name | Mrs. SHILPI DEVI | Contact No | 8442951173 |
| Address | 165 NEW MAHESH SERAMPORE HOOGHLY 712203 | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||