Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02696 | Date 13/09/2022 |
| Token No | SM/22-23/2708 13/09/2022 | Serial | 031 |
| Patient Name | Mrs. PUTUL RANI DEBNATH | Contact No | 9143335344 |
| Address | 43/16/B/1 PRABASHNAGAR SERAMPORE 712249 | Age | 72 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||