Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03583 | Date 09/01/2023 |
| Token No | SM/22-23/7822 25/03/2023 | Serial | 026 |
| Patient Name | Mrs. SRABONTI SAMANTA | Contact No | 8768588215 |
| Address | 16/A/2 PROVASNAGAR SERAMPORE 712249 | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||