Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03154 | Date 16/11/2022 |
| Token No | SM/22-23/5098 08/12/2022 | Serial | 024 |
| Patient Name | Mrs. RITA SANDAKI | Contact No | 9073572198 |
| Address | 65/25/10/A PRABASHNAGAR SERAMPORE 712249 | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||