Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03749 | Date 13/02/2023 |
| Token No | SM/22-23/6757 13/02/2023 | Serial | 029 |
| Patient Name | Mrs. SUMI ROY CHOWDHURY | Contact No | 9831083611 |
| Address | 20C/2 D N BHATTACHARYA SARANI SERAMPORE 712249 | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||