Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04039 | Date 10/04/2023 |
| Token No | SM/22-23/8118 10/04/2023 | Serial | 052 |
| Patient Name | Mrs. SAMITA DEY | Contact No | 9088657182 |
| Address | 65/15 PRABASHNAGAR SERAMPORE 712249 | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||