Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04043 | Date 11/04/2023 |
| Token No | SM/22-23/8158 11/04/2023 | Serial | 037 |
| Patient Name | Mrs. MANJU SAMADDAR | Contact No | 7044695813 |
| Address | 72/A/6 PRABASHNAGAR SERAMPORE 712249 | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||