Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03846 | Date 01/03/2023 |
| Token No | SM/22-23/9394 08/06/2023 | Serial | 035 |
| Patient Name | Mrs. ANITA GHOSH | Contact No | 6291044259 |
| Address | 65/2 PRABASHNAGAR SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||