Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03055 | Date 04/11/2022 |
| Token No | SM/22-23/5096 08/12/2022 | Serial | 022 |
| Patient Name | Mrs. PURNIMA GAYEN | Contact No | 9883606635 |
| Address | 13/54 B B GHOSH ROAD SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||