Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02141 | Date 04/07/2022 |
| Token No | SM/22-23/1077 04/07/2022 | Serial | 044 |
| Patient Name | Mrs. PARBATI NAYAK | Contact No | 8961635475 |
| Address | 24 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||