Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01974 | Date 21/06/2022 |
| Token No | SM/22-23/20345 30/03/2024 | Serial | 061 |
| Patient Name | Mrs. LAXMI MAJUMDAR | Contact No | 8240966074 |
| Address | SERAMPORE PRABASHNAGAR 712249 | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||