Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02337 | Date 28/07/2022 |
| Token No | SM/25-26/22704 28/10/2026 | Serial | 021 |
| Patient Name | Mrs. ANNAPURNA DEVI GUPTA | Contact No | 9883089015 |
| Address | 65/25/53 M J ROAD CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 59 Years,5 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 142/73 mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||