Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02373 | Date 01/08/2022 |
| Token No | SM/22-23/1774 01/08/2022 | Serial | 054 |
| Patient Name | Mrs. MAHUYA MAJUMDAR | Contact No | 8820791975 |
| Address | 65/25/37 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 40 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||