Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03568 | Date 04/01/2023 |
| Token No | SM/22-23/5977 07/01/2023 | Serial | 020 |
| Patient Name | Mrs. PINKI RAJAK | Contact No | 9007803514 |
| Address | 194 B.B GHOSH ROAD SERAMPORE 712203 | Age | 32 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||