Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02017 | Date 23/06/2022 |
| Token No | SM/22-23/3545 17/10/2022 | Serial | 047 |
| Patient Name | Mrs. LINA SENGUPTA | Contact No | 8296454513 |
| Address | 178/C VIVEKANANDA SARANI BAIDYABATI M 712203 | Age | 64 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||