Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03403 | Date 14/12/2022 |
| Token No | SM/22-23/5305 14/12/2022 | Serial | 051 |
| Patient Name | Miss KUSUM RAJBHAR | Contact No | 9330074873 |
| Address | 117 NEW MAHESH SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||