Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03778 | Date 16/02/2023 |
| Token No | SM/22-23/17343 09/01/2024 | Serial | 020 |
| Patient Name | Mrs. BELA BHATTACHARJEE | Contact No | 9088656306 |
| Address | 24/A PRAVASHNAGAR SERAMPORE 712249 | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||