Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03368 | Date 09/12/2022 |
| Token No | SM/22-23/5163 09/12/2022 | Serial | 046 |
| Patient Name | Mrs. MADHUMITA PRAMANIK | Contact No | 9163691019 |
| Address | 165/D PRABASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||