Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03284 | Date 29/11/2022 |
| Token No | SM/22-23/6691 09/02/2023 | Serial | 025 |
| Patient Name | Mrs. ARATI DEVI | Contact No | 8981295630 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 50 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||