Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02119 | Date 04/07/2022 |
| Token No | SM/22-23/1041 04/07/2022 | Serial | 008 |
| Patient Name | Mrs. MONIKA KUMAR | Contact No | 9231353390 |
| Address | 34/B/35 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||