Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03555 | Date 03/01/2023 |
| Token No | SM/22-23/5876 03/01/2023 | Serial | 009 |
| Patient Name | Mrs. BULANTI DEVI | Contact No | 7003143852 |
| Address | STANDAR PHARMACY SERAMPORE 712203 | Age | 86 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||