Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03292 | Date 30/11/2022 |
| Token No | SM/22-23/4899 30/11/2022 | Serial | 034 |
| Patient Name | Mrs. TULU DAS | Contact No | 7439504458 |
| Address | PRABASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 34 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||