Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01893 | Date 10/06/2022 |
| Token No | SM/22-23/490 10/06/2022 | Serial | 050 |
| Patient Name | Mrs. LAXMI MAJUMDER | Contact No | |
| Address | PRABASHNAGAR SERAMPORE | Age | 35 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||