Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02035 | Date 24/06/2022 |
| Token No | SM/22-23/828 24/06/2022 | Serial | 011 |
| Patient Name | Mrs. RATNA HAMBIR | Contact No | 8017283295 |
| Address | 64 NEW MAHESH SERAMPORE HOOGHLY 712203 | Age | 50 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||