Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02346 | Date 29/07/2022 |
| Token No | SM/22-23/1701 29/07/2022 | Serial | 027 |
| Patient Name | Mrs. PRITI SHAW | Contact No | 9007152388 |
| Address | 155 NEW MAHESH SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||