Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01596 | Date 20/05/2022 |
| Token No | SM/22-23/8 20/05/2022 | Serial | 006 |
| Patient Name | Mrs. MANIK SAHA | Contact No | 9088340499 |
| Address | 9/371/A B B GHOSH ROAD 24 ER PALLY SERAMPORE 712203 | Age | 48 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||