Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03799 | Date 20/02/2023 |
| Token No | SM/22-23/6932 20/02/2023 | Serial | 009 |
| Patient Name | Mrs. SEFALI ROY | Contact No | 8240639146 |
| Address | 65/19/7 PRAVASHNAGAR SERAMPORE 712249 | Age | 76 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||