Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03115 | Date 11/11/2022 |
| Token No | SM/22-23/6189 20/01/2023 | Serial | 012 |
| Patient Name | Mrs. MANJU MAJHI | Contact No | 8334022535 |
| Address | 43/18/1 PRABASHNAGAR SERAMPORE 712249 | Age | 52 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||