Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01909 | Date 13/06/2022 |
| Token No | SM/22-23/523 13/06/2022 | Serial | 023 |
| Patient Name | Mrs. MAMTA DEVI | Contact No | 9661826683 |
| Address | 10/A/2 PRABASHNAGAR SERAMPORE 712249 | Age | 43 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||