Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01872 | Date 10/06/2022 |
| Token No | SM/22-23/625 17/06/2022 | Serial | 030 |
| Patient Name | Mrs. SANTOSHI DEY | Contact No | 9674784016 |
| Address | 26/C PRABASHNAGAR SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||