Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05806 | Date 06/12/2023 |
| Token No | SM/22-23/16216 06/12/2023 | Serial | 012 |
| Patient Name | Mrs. TITLI DEBNATH | Contact No | 9051353658 |
| Address | 2/A RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||