Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00560 | Date 16/12/2019 |
| Token No | SM/22-23/2262 24/08/2022 | Serial | 034 |
| Patient Name | Mrs. GITA BHATTACHARJEE | Contact No | 7596923374 |
| Address | 190/2 RAJYADHARPUR GOVE COLONY SERAMPORE 712203 | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||