Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04196 | Date 18/05/2023 |
| Token No | SM/22-23/20336 30/03/2024 | Serial | 052 |
| Patient Name | Mrs. SANGITA DAS | Contact No | 9007789530 |
| Address | 65/7/5/A PRABASHNAGAR SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||