Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02544 | Date 24/08/2022 |
| Token No | SM/22-23/2256 24/08/2022 | Serial | 028 |
| Patient Name | Mrs. KALITARA DAS | Contact No | 8777256524 |
| Address | 150A 2NO RAJYADHARPUR GOVT QUARTER SERAMPORE 712203 | Age | 82 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||