Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03738 | Date 10/02/2023 |
| Token No | SM/22-23/8701 10/05/2023 | Serial | 029 |
| Patient Name | Mrs. DIVYA KOSHTA | Contact No | 7879234537 |
| Address | 13/17 B.B GHOSH ROAD SERAMPORE 712249 | Age | 26 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||