Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02848 | Date 07/10/2022 |
| Token No | SM/22-23/9064 23/05/2023 | Serial | 024 |
| Patient Name | Mrs. JAYANTI DUTTA | Contact No | 9748609290 |
| Address | 9/371/Q B B GHOSH ROAD SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||