Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02082 | Date 28/06/2022 |
| Token No | SM/22-23/934 28/06/2022 | Serial | 019 |
| Patient Name | Mrs. SUJATA DAS | Contact No | 9088403506 |
| Address | 18 B B GHOSH ROAD SERAMPORE HOOGHLY 712203 | Age | 20 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||