Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04227 | Date 26/05/2023 |
| Token No | SM/22-23/9099 26/05/2023 | Serial | 021 |
| Patient Name | Mrs. LALITA JANA | Contact No | 9088144123 |
| Address | 65/25/47 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 41 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||