Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02988 | Date 28/10/2022 |
| Token No | SM/22-23/3797 28/10/2022 | Serial | 017 |
| Patient Name | Mrs. KANIKA MALAKAR | Contact No | 6290266034 |
| Address | 34/B/27 B B GHOSH ROAD SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||