Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03474 | Date 22/12/2022 |
| Token No | SM/22-23/5558 22/12/2022 | Serial | 027 |
| Patient Name | Mrs. PUJA DAS | Contact No | 7596926359 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||