Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02228 | Date 15/07/2022 |
| Token No | SM/22-23/1929 10/08/2022 | Serial | 027 |
| Patient Name | Mrs. CHAINA SARKAR | Contact No | 8902326768 |
| Address | 218 2NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||