Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01576 | Date 06/07/2020 |
| Token No | SM/22-23/2818 19/09/2022 | Serial | 004 |
| Patient Name | Mrs. SWETA NANDY | Contact No | 9810220580 |
| Address | B/103/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 61 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/90 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||