Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03394 | Date 14/12/2022 |
| Token No | SM/22-23/7138 01/03/2023 | Serial | 011 |
| Patient Name | Mrs. JHUMPA DAS | Contact No | 9163871974 |
| Address | 47 NEW MAHESH SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||