Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04788 | Date 10/08/2023 |
| Token No | SM/22-23/12130 21/08/2023 | Serial | 066 |
| Patient Name | Mrs. PADMA ADHIKARI | Contact No | 9903688591 |
| Address | 55/A PRABASHNAGAR SERAMPORE 712203 | Age | 71 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||