Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03867 | Date 03/03/2023 |
| Token No | SM/22-23/7241 03/03/2023 | Serial | 033 |
| Patient Name | Mrs. SRABONTI SAMANTA | Contact No | 9681111439 |
| Address | PRABASHNAGAR SERAMPORE | Age | 34 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||