Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03210 | Date 22/11/2022 |
| Token No | SM/22-23/5966 07/01/2023 | Serial | 009 |
| Patient Name | Mrs. BABITA DEVI | Contact No | 9163827884 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 26 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||