Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02186 | Date 07/07/2022 |
| Token No | SM/22-23/1209 07/07/2022 | Serial | 031 |
| Patient Name | Mrs. MOUMITA SARKAR | Contact No | 9038902676 |
| Address | 30/27 TARAPUKUR LANE SERAMPORE 712203 | Age | 30 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||