Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02765 | Date 23/09/2022 |
| Token No | SM/22-23/2978 23/09/2022 | Serial | 042 |
| Patient Name | Mrs. MANDIRA DAS | Contact No | 8100292269 |
| Address | 173 2NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 17 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||