Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02796 | Date 26/09/2022 |
| Token No | SM/22-23/3074 26/09/2022 | Serial | 043 |
| Patient Name | Mrs. MAMATA SAMANTA | Contact No | 7890046879 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 37 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||