Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00142 | Date 16/09/2019 |
| Token No | SM/22-23/3631 19/10/2022 | Serial | 025 |
| Patient Name | Mrs. ARATI PAL | Contact No | 7998312048 |
| Address | 53/X TARAPUKUR LANE GOVT QUARTER,SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||