Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04243 | Date 29/05/2023 |
| Token No | SM/22-23/9155 29/05/2023 | Serial | 006 |
| Patient Name | Mrs. TANUSHREE CHATTERJEE | Contact No | 7838517501 |
| Address | 65/25/39 PRAVASNAGAR SERAMPORE 712249 | Age | 41 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||