Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01667 | Date 25/05/2022 |
| Token No | SM/22-23/4397 14/11/2022 | Serial | 029 |
| Patient Name | Mrs. PARAMITA SARKAR | Contact No | 9088539105 |
| Address | 8/A/2/14/A DINEN BHATTACHARYA SARANI SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||