Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01629 | Date 23/05/2022 |
| Token No | SM/22-23/51 23/05/2022 | Serial | 020 |
| Patient Name | Mrs. SHRABANTI PANDIT | Contact No | 9163572126 |
| Address | 191 NEW MAHESH SERAMPORE 712203 | Age | 37 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||