Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01972 | Date 21/06/2022 |
| Token No | SM/22-23/667 21/06/2022 | Serial | 015 |
| Patient Name | Mrs. AROTI ROY | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712203 | Age | 60 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||