Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01614 | Date 23/05/2022 |
| Token No | SM/22-23/3509 17/10/2022 | Serial | 011 |
| Patient Name | Mrs. RINA ADHIKARI | Contact No | 9903415793 |
| Address | 65/25 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||