Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02094 | Date 29/06/2022 |
| Token No | SM/22-23/980 29/06/2022 | Serial | 030 |
| Patient Name | Mrs. MOU CHOWDHURY | Contact No | 9748513823 |
| Address | 38/D B B GHOSH ROAD SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||