Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02895 | Date 14/10/2022 |
| Token No | SM/22-23/3459 14/10/2022 | Serial | 028 |
| Patient Name | Mrs. RINA SAHA | Contact No | 8250309095 |
| Address | 238 RAJYADHARPUR GOVT QUARTER SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||