Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01574 | Date 06/07/2020 |
| Token No | SM/22-23/5918 04/01/2023 | Serial | 010 |
| Patient Name | Mrs. MINATI DEBNATH | Contact No | 9903235323 |
| Address | GHOSAL PARA NABAGRAM BAIDYABATI M 712203 | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||