Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03282 | Date 29/11/2022 |
| Token No | SM/22-23/4851 29/11/2022 | Serial | 023 |
| Patient Name | Mrs. NAMITA DEY | Contact No | |
| Address | 36/C GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 67 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||