Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03011 | Date 01/11/2022 |
| Token No | SM/22-23/3929 01/11/2022 | Serial | 026 |
| Patient Name | Mrs. PIYALI ROY SAHA | Contact No | 8777378803 |
| Address | 229/A RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||