Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01014 | Date 18/02/2020 |
| Token No | SM/22-23/2207 22/08/2022 | Serial | 061 |
| Patient Name | Mrs. ANJANA MUKHERJEE | Contact No | 8296065912 |
| Address | 30J/1 TARAPUKUR LANE SERAMPORE 712203 | Age | 45 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||