Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01908 | Date 13/06/2022 |
| Token No | SM/22-23/522 13/06/2022 | Serial | 022 |
| Patient Name | Mrs. SAMPA PANDIT | Contact No | 9163572126 |
| Address | 191 NEW MAHESH SERAMPORE 712203 | Age | 16 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||