Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03638 | Date 24/01/2023 |
| Token No | SM/22-23/17752 24/01/2024 | Serial | 048 |
| Patient Name | Miss SUSMITA DAS | Contact No | 8240892973 |
| Address | 206/A NEW MAHESH SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||