Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02721 | Date 19/09/2022 |
| Token No | SM/22-23/2904 21/09/2022 | Serial | 024 |
| Patient Name | Mrs. MUKUL DEBNATH | Contact No | 9088161841 |
| Address | 20/E PRABASHNAGAR SERAMPORE 712249 | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||