Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02033 | Date 24/06/2022 |
| Token No | SM/22-23/826 24/06/2022 | Serial | 009 |
| Patient Name | Mrs. PALLABI ROY | Contact No | 9883521058 |
| Address | PRABASHNAGAR SERAMPORE HOOGHLY 712249 | Age | 19 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||