Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02864 | Date 12/10/2022 |
| Token No | SM/22-23/3360 12/10/2022 | Serial | 011 |
| Patient Name | Mrs. TAPASI CHAKLADAR | Contact No | 9748122884 |
| Address | 65/20 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||