Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01951 | Date 17/06/2022 |
| Token No | SM/22-23/658 21/06/2022 | Serial | 006 |
| Patient Name | Mrs. LAKSHMI RANI CHAKRABORTY | Contact No | 9230795665 |
| Address | 65/22/4 CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 70 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||