Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02375 | Date 01/08/2022 |
| Token No | SM/22-23/1776 01/08/2022 | Serial | 056 |
| Patient Name | Mrs. RINA BHAGAT | Contact No | 7044167457 |
| Address | 13 TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 15 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||