Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01949 | Date 17/06/2022 |
| Token No | SM/22-23/3943 01/11/2022 | Serial | 040 |
| Patient Name | Mrs. MOUMITA CHAKRABORTY | Contact No | 8100424563 |
| Address | 2/207 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 20 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||