Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04074 | Date 24/04/2023 |
| Token No | SM/22-23/9005 20/05/2023 | Serial | 030 |
| Patient Name | Mrs. SUNITA HARI | Contact No | 9830869961 |
| Address | HARBHAJAN BASTI B B GHOSHROAD SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||