Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03788 | Date 16/02/2023 |
| Token No | SM/22-23/6888 16/02/2023 | Serial | 064 |
| Patient Name | Miss SUMANA ROY | Contact No | |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||