Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03264 | Date 26/11/2022 |
| Token No | SM/22-23/4773 26/11/2022 | Serial | 020 |
| Patient Name | Mrs. PRAVA DEVI | Contact No | 8443870031 |
| Address | 126 NEW MAHESH SERAMPORE 712203 | Age | 25 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||