Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02792 | Date 26/09/2022 |
| Token No | SM/22-23/3060 26/09/2022 | Serial | 029 |
| Patient Name | Mrs. ANJALI BHATTCHARYA | Contact No | 9432010939 |
| Address | 141 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 81 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||