Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02605 | Date 02/09/2022 |
| Token No | SM/22-23/8143 11/04/2023 | Serial | 022 |
| Patient Name | Mrs. SABITA RABIDAS | Contact No | 7044765231 |
| Address | B B GHOSH ROAD HARIJAN BASTI SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||