Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02758 | Date 23/09/2022 |
| Token No | SM/22-23/2953 23/09/2022 | Serial | 017 |
| Patient Name | Mrs. SIMA SARKAR | Contact No | 9804243013 |
| Address | 101 MALLICKPARA LANE SERAMPORE 712203 | Age | 59 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||