Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02909 | Date 17/10/2022 |
| Token No | SM/22-23/3508 17/10/2022 | Serial | 010 |
| Patient Name | Mrs. SUPARNA DUTTA BANIK | Contact No | 9007654076 |
| Address | 1 NO COLONY DAKSHIN RAJYADHARPUR SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||