Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00243 | Date 25/09/2019 |
| Token No | SM/22-23/7123 28/02/2023 | Serial | 046 |
| Patient Name | Mrs. CHANDANA MAJUMDER | Contact No | 9330534761 |
| Address | 65/25/37 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||