Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03601 | Date 13/01/2023 |
| Token No | SM/22-23/6288 25/01/2023 | Serial | 028 |
| Patient Name | Mrs. USHA DEVI | Contact No | 7005684992 |
| Address | 96/A PRABASHNAGAR SERAMPORE 712249 | Age | 49 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||