Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02516 | Date 22/08/2022 |
| Token No | SM/22-23/2189 22/08/2022 | Serial | 043 |
| Patient Name | Mrs. KAVITA DEVI | Contact No | 7250390470 |
| Address | SARADA PALLY SERAMPORE 712203 | Age | 22 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||