Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03092 | Date 09/11/2022 |
| Token No | SM/22-23/4195 09/11/2022 | Serial | 030 |
| Patient Name | Mrs. ANJALI DUTTA | Contact No | 9831991256 |
| Address | B/68/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 63 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||