Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01968 | Date 21/06/2022 |
| Token No | SM/22-23/2393 31/08/2022 | Serial | 028 |
| Patient Name | Mrs. SASWATI BANERJEE | Contact No | 8910947796 |
| Address | RAJYADHARPUR GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 22 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||