Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01627 | Date 23/05/2022 |
| Token No | SM/22-23/1344 15/07/2022 | Serial | 014 |
| Patient Name | Mrs. KUSHILA DEBI | Contact No | |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 55 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||