Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03773 | Date 16/02/2023 |
| Token No | SM/22-23/6859 16/02/2023 | Serial | 035 |
| Patient Name | Mrs. ALKA DEBI | Contact No | 9140334580 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||