Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02683 | Date 12/09/2022 |
| Token No | SM/22-23/3084 26/09/2022 | Serial | 053 |
| Patient Name | Mrs. RINA DAS | Contact No | 9051728474 |
| Address | D N BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 35 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||