Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03675 | Date 31/01/2023 |
| Token No | SM/22-23/6747 13/02/2023 | Serial | 019 |
| Patient Name | Mrs. ABALA RAY | Contact No | 9330403350 |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 68 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||