Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03145 | Date 14/11/2022 |
| Token No | SM/22-23/4430 14/11/2022 | Serial | 062 |
| Patient Name | Mrs. LAKHI MAJUMDAR | Contact No | 8240966074 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||