Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04044 | Date 11/04/2023 |
| Token No | SM/22-23/8162 11/04/2023 | Serial | 041 |
| Patient Name | Mrs. ANNAPURNA DEVI | Contact No | 9681359307 |
| Address | 13/86 B B GHOSH ROAD SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||