Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07841 | Date 05/09/2024 |
| Token No | SM/24-25/27769 05/09/2024 | Serial | 053 |
| Patient Name | Miss SAINI MITRA | Contact No | |
| Address | 34B/36 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||