Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02978 | Date 22/10/2022 |
| Token No | SM/22-23/7995 05/04/2023 | Serial | 009 |
| Patient Name | Mrs. SHOVA DEB | Contact No | 9836022539 |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||