Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03045 | Date 03/11/2022 |
| Token No | SM/22-23/4015 03/11/2022 | Serial | 029 |
| Patient Name | Mrs. GITA SAHA | Contact No | 9230557749 |
| Address | 30/20 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 48 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||