Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02480 | Date 17/08/2022 |
| Token No | SM/22-23/2961 23/09/2022 | Serial | 025 |
| Patient Name | Mrs. CHANDANA DAS | Contact No | 8274069838 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||