Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02913 | Date 17/10/2022 |
| Token No | SM/22-23/6180 20/01/2023 | Serial | 003 |
| Patient Name | Mrs. DIPTI DEY | Contact No | 6291583047 |
| Address | 9/431 PRABASHNAGAR SERAMPORE 712249 | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||