Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02991 | Date 28/10/2022 |
| Token No | SM/22-23/6331 28/01/2023 | Serial | 037 |
| Patient Name | Mrs. TUMPA MUKHERHEE | Contact No | 8697277274 |
| Address | 2 NEW MAHESH SERAMPORE 712203 | Age | 30 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||