Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01894 | Date 10/06/2022 |
| Token No | SM/22-23/491 10/06/2022 | Serial | 051 |
| Patient Name | Mrs. LAXMI KANDAL | Contact No | 6291691573 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE MALLICKPARA 712203 | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||