Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03544 | Date 30/12/2022 |
| Token No | SM/22-23/5816 30/12/2022 | Serial | 048 |
| Patient Name | Mrs. BULA BARA | Contact No | 8697009533 |
| Address | 3D D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||