Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02413 | Date 08/08/2022 |
| Token No | SM/22-23/1894 08/08/2022 | Serial | 022 |
| Patient Name | Miss LAXMI PRASAD | Contact No | 8910301662 |
| Address | 227 NEW MAHESH SERAMPORE 712203 | Age | 20 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||