Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01931 | Date 16/06/2022 |
| Token No | SM/22-23/730 22/06/2022 | Serial | 030 |
| Patient Name | Mrs. OMRAWATI DEVI | Contact No | 9748696436 |
| Address | 34 B/41 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 79 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||