Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01727 | Date 27/05/2022 |
| Token No | SM/22-23/3528 17/10/2022 | Serial | 030 |
| Patient Name | Mrs. MAMONI HALDER | Contact No | 9432748732 |
| Address | TARAPUKUR COLONY SERAMPORE 712203 | Age | 25 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||