Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03121 | Date 11/11/2022 |
| Token No | SM/22-23/5963 07/01/2023 | Serial | 006 |
| Patient Name | Mrs. APARNA DAS (SWARNAKAR) | Contact No | 8100586056 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 22 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 78 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||