Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00898 | Date 07/02/2020 |
| Token No | SM/22-23/3137 29/09/2022 | Serial | 001 |
| Patient Name | Mrs. TUMPA DAS | Contact No | 8420816499 |
| Address | 110/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||