Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03868 | Date 03/03/2023 |
| Token No | SM/24-25/22852 07/06/2024 | Serial | 028 |
| Patient Name | Mrs. MITHU MUKHERJEE | Contact No | 7890046415 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||