Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02409 | Date 08/08/2022 |
| Token No | SM/22-23/1879 08/08/2022 | Serial | 007 |
| Patient Name | Mrs. ANJANA BHATTACHARYA | Contact No | 6289094208 |
| Address | 30F TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 67 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||