Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02542 | Date 24/08/2022 |
| Token No | SM/22-23/2254 24/08/2022 | Serial | 026 |
| Patient Name | Mrs. PINKI MONDAL | Contact No | |
| Address | 92X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 22 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||