Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02787 | Date 26/09/2022 |
| Token No | SM/22-23/3151 29/09/2022 | Serial | 015 |
| Patient Name | Mrs. TARAMANI ROUTH | Contact No | 8910235701 |
| Address | 60/A RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 47 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||