Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02064 | Date 27/06/2022 |
| Token No | SM/22-23/898 27/06/2022 | Serial | 032 |
| Patient Name | Mrs. BULA SHIL | Contact No | 9143064981 |
| Address | 165C M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||