Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02996 | Date 29/10/2022 |
| Token No | SM/24-25/29855 22/10/2024 | Serial | 028 |
| Patient Name | Mrs. SANGITA GHORUI | Contact No | 7044492171 |
| Address | 38/D B B GHOSH ROAD MALLICKPARA SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||