Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00732 | Date 14/01/2020 |
| Token No | SM/22-23/4845 29/11/2022 | Serial | 017 |
| Patient Name | Mrs. SONY DEVI | Contact No | 9051020990 |
| Address | PROVASNAGER SERAMPORE 712249 | Age | 32 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||