Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01546 | Date 02/05/2020 |
| Token No | SM/22-23/5337 15/12/2022 | Serial | 027 |
| Patient Name | Mrs. MANKHUSHI DAS | Contact No | 7890757105 |
| Address | 8/A/2/19 PRABASHNAGAR SERAMPORE 712249 | Age | 69 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||