Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01936 | Date 17/06/2022 |
| Token No | SM/22-23/2757 15/09/2022 | Serial | 003 |
| Patient Name | Mrs. GURIA RAJAK | Contact No | 8420963733 |
| Address | 194 NEW MAHESH MALLICKPARA SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||