Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01842 | Date 08/06/2022 |
| Token No | SM/22-23/1327 14/07/2022 | Serial | 027 |
| Patient Name | Mrs. CHUMKI BHOWMIK DEBNATH | Contact No | 7278394041 |
| Address | 43/16/4 PRABASHNAGAR SERAMPORE 712249 | Age | 29 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||