Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02091 | Date 29/06/2022 |
| Token No | SM/22-23/5978 07/01/2023 | Serial | 021 |
| Patient Name | Mrs. PINKI DAS | Contact No | 7003892217 |
| Address | 266 NEW MAHESH SERAMPORE HOOGHLY 712203 | Age | 23 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||