Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02101 | Date 30/06/2022 |
| Token No | SM/22-23/991 30/06/2022 | Serial | 005 |
| Patient Name | Mrs. RINA MALIK | Contact No | 8981103820 |
| Address | 88 NEW MAHESH SERAMPORE HOOGHLY 712203 | Age | 27 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||