Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04137 | Date 04/05/2023 |
| Token No | SM/22-23/18964 23/02/2024 | Serial | 019 |
| Patient Name | Mrs. SUNITA MAHATO | Contact No | 9051105961 |
| Address | 10A DINEN BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||