Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00706 | Date 10/01/2020 |
| Token No | SM/22-23/5686 28/12/2022 | Serial | 004 |
| Patient Name | Mrs. TUMPA SHIULI | Contact No | 9163191753 |
| Address | 3-D B B GHOSH ROAD SERAMPORE 712203 | Age | 30 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||