Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03816 | Date 22/02/2023 |
| Token No | SM/22-23/6998 22/02/2023 | Serial | 011 |
| Patient Name | Mrs. SITA HARIJAN | Contact No | 6289074355 |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 30 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||