Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 03015 | Date 01/11/2022 |
| Token No | SM/22-23/4055 04/11/2022 | Serial | 019 |
| Patient Name | Mrs. MAYA GHOSH | Contact No | 9903791312 |
| Address | 94/A KHATIR BAZAR LANE SERAMPORE 712201 | Age | 71 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||