Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08279 | Date 07/02/2023 |
| Token No | SM/22-23/7732 07/02/2023 | Serial | 027 |
| Patient Name | Mrs. ANNAPURNA SOM | Contact No | NOT GIVEN |
| Address | 19C J.N. LAHIRI, SERAMPORE | Age | 54 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||