Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05682 | Date 17/11/2023 |
| Token No | SM/22-23/15608 17/11/2023 | Serial | 041 |
| Patient Name | Mrs. PRIYANKA DAS | Contact No | 9163248514 |
| Address | 107 GURU GARDEN ROAD SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||