Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03499 | Date 24/12/2022 |
| Token No | SM/22-23/5639 24/12/2022 | Serial | 040 |
| Patient Name | Mrs. CHAYA SIL | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 48 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||