Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02503 | Date 22/08/2022 |
| Token No | SM/22-23/2816 19/09/2022 | Serial | 002 |
| Patient Name | Mrs. BARNALI MUKHERJEE | Contact No | 8274009985 |
| Address | BIBIRBER GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 49 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||