Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04065 | Date 18/04/2023 |
| Token No | SM/22-23/8305 18/04/2023 | Serial | 034 |
| Patient Name | Mrs. KEYA DAS DEBNATH | Contact No | 9883674729 |
| Address | 43/27/A/10 PRABASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||