Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03273 | Date 28/11/2022 |
| Token No | SM/22-23/5102 08/12/2022 | Serial | 028 |
| Patient Name | Mrs. RINKI DEVI | Contact No | 9836853207 |
| Address | 157A NEW MAHESH SERAMPORE 712201 | Age | 34 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||