Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01977 | Date 21/06/2022 |
| Token No | SM/22-23/679 21/06/2022 | Serial | 027 |
| Patient Name | Mrs. SHYAMALI DAS | Contact No | 8017567232 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 49 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||