Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03621 | Date 19/01/2023 |
| Token No | SM/22-23/6171 19/01/2023 | Serial | 013 |
| Patient Name | Miss SARMISTHA DEBNATH | Contact No | 9088161841 |
| Address | 20/E PRAVASHNAGAR SERAMPORE 712249 | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||