Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03360 | Date 09/12/2022 |
| Token No | SM/22-23/5120 09/12/2022 | Serial | 003 |
| Patient Name | Mrs. RADHA RANI DEY | Contact No | 9163561231 |
| Address | 26 NEW MAHESH SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||