Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03061 | Date 05/11/2022 |
| Token No | SM/22-23/4092 05/11/2022 | Serial | 014 |
| Patient Name | Mrs. GITA GHOSH | Contact No | |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 22 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||