Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03505 | Date 27/12/2022 |
| Token No | SM/22-23/5669 27/12/2022 | Serial | 027 |
| Patient Name | Mrs. PRIYA BAG | Contact No | 7602894450 |
| Address | TARAPUKUR MALLICKPARA SERAMPORE 712203 | Age | 24 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||