Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02450 | Date 12/08/2022 |
| Token No | SM/22-23/2018 12/08/2022 | Serial | 040 |
| Patient Name | Mrs. SURABHI SAHA | Contact No | 8335028433 |
| Address | 65/25/39 PRABASHNAGAR SERAMPORE 712249 | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||