Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02045 | Date 24/06/2022 |
| Token No | SM/22-23/5990 07/01/2023 | Serial | 033 |
| Patient Name | Mrs. NAMITA DEVI PANDEY | Contact No | 7003984066 |
| Address | 182 NEW MAHESH SERAMPORE HOOGHLY 712203 | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||