Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02230 | Date 15/07/2022 |
| Token No | SM/22-23/1341 15/07/2022 | Serial | 011 |
| Patient Name | Mrs. SANJUKTTA CHAKRABORTY | Contact No | 8240441664 |
| Address | 30/3/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 25 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||