Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03117 | Date 11/11/2022 |
| Token No | SM/22-23/4301 11/11/2022 | Serial | 014 |
| Patient Name | Mrs. PALAK MISHRA | Contact No | 8229956432 |
| Address | 37/2/C GURU GARDEN ROAD SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||