Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03842 | Date 28/02/2023 |
| Token No | SM/22-23/8117 10/04/2023 | Serial | 051 |
| Patient Name | Mrs. ANJANA DAS | Contact No | 8583028841 |
| Address | 55A/12 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||