Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01593 | Date 20/05/2022 |
| Token No | SM/22-23/1194 07/07/2022 | Serial | 016 |
| Patient Name | Mrs. KRISHNA SARKAR | Contact No | |
| Address | 2 NO COLONY RAJYADHARPUR SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||