Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03461 | Date 21/12/2022 |
| Token No | SM/22-23/5511 21/12/2022 | Serial | 025 |
| Patient Name | Mrs. DEWANTI DEVI | Contact No | 8820962108 |
| Address | 37/2/A PRAVASHNAGAR SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||