Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04217 | Date 24/05/2023 |
| Token No | SM/22-23/9078 24/05/2023 | Serial | 012 |
| Patient Name | Mrs. BINA MALO | Contact No | 7890459055 |
| Address | 65/25/13B PRABASHNAGAR SERAMPORE 712249 | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||