Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02800 | Date 26/09/2022 |
| Token No | SM/22-23/3082 26/09/2022 | Serial | 051 |
| Patient Name | Mrs. SARASWATI GHOSH | Contact No | 9163235737 |
| Address | 139/C RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 46 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||