Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03921 | Date 13/03/2023 |
| Token No | SM/22-23/9203 30/05/2023 | Serial | 022 |
| Patient Name | Mrs. ARATI RAY | Contact No | |
| Address | D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 62 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||