Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01904 | Date 13/06/2022 |
| Token No | SM/22-23/1565 25/07/2022 | Serial | 019 |
| Patient Name | Mrs. REKHA DAS | Contact No | 9051657488 |
| Address | 138/A RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||