Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03556 | Date 03/01/2023 |
| Token No | SM/22-23/18989 23/02/2024 | Serial | 044 |
| Patient Name | Mrs. CHANDA DEVI SHAW | Contact No | 9774945637 |
| Address | 96/A PRABASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||