Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03007 | Date 31/10/2022 |
| Token No | SM/22-23/3888 31/10/2022 | Serial | 025 |
| Patient Name | Mrs. SWAPNA SAHA | Contact No | 9330585386 |
| Address | 1/21 RAJYADHARPUR GOVY COLONY MALLICKPARA SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||