Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02348 | Date 29/07/2022 |
| Token No | SM/22-23/1707 29/07/2022 | Serial | 033 |
| Patient Name | Mrs. PROVA SEN | Contact No | 8017298331 |
| Address | SERAMPORE | Age | 30 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||