Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04483 | Date 11/07/2023 |
| Token No | SM/22-23/13269 19/09/2023 | Serial | 034 |
| Patient Name | Mrs. SONALI DEB | Contact No | 9681204405 |
| Address | 65/22/9 PRABASHNAGAR SERAMPORE 712249 | Age | 43 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||