Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02709 | Date 16/09/2022 |
| Token No | SM/22-23/2785 16/09/2022 | Serial | 004 |
| Patient Name | Mrs. MAYA KARMAKAR | Contact No | 8420209651 |
| Address | 30/40/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||