Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02890 | Date 14/10/2022 |
| Token No | SM/22-23/6286 25/01/2023 | Serial | 026 |
| Patient Name | Mrs. RAKHI SARDAR BERA | Contact No | 9836724146 |
| Address | 101 NEW MAHESH SERAMPORE 712203 | Age | 20 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||