Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03909 | Date 11/03/2023 |
| Token No | SM/22-23/14863 30/10/2023 | Serial | 084 |
| Patient Name | Mrs. CHAINA DAS | Contact No | 9007776440 |
| Address | 10A DINEN BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||