Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02041 | Date 24/06/2022 |
| Token No | SM/22-23/837 24/06/2022 | Serial | 020 |
| Patient Name | Mrs. LAXMI DEBI | Contact No | 9681359307 |
| Address | SARADA PALLY SERAMPORE HOOGHLY 712203 | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||