Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01841 | Date 08/06/2022 |
| Token No | SM/22-23/2354 26/08/2022 | Serial | 049 |
| Patient Name | Mrs. JYOTSNA BHOWMIK | Contact No | 9830958858 |
| Address | 43/16/4 PRABASHNAGAR SERAMPORE 712249 | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||