Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01913 | Date 13/06/2022 |
| Token No | SM/22-23/6073 13/01/2023 | Serial | 026 |
| Patient Name | Mrs. MAYA BANIK | Contact No | 9163193266 |
| Address | 34/B/64/A B B GHOSH ROAD SERAMPORE 712203 | Age | 69 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||