Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03335 | Date 06/12/2022 |
| Token No | SM/22-23/5174 10/12/2022 | Serial | 005 |
| Patient Name | Mrs. SANDHYA DAS | Contact No | 9123939766 |
| Address | 65/A WEST JANNAGAR ROAD PRABASNAGAR SERAMPORE 712249 | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||