Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03135 | Date 14/11/2022 |
| Token No | SM/22-23/4380 14/11/2022 | Serial | 012 |
| Patient Name | Mrs. MAMATA SANKY | Contact No | 9073324396 |
| Address | 2NO RAJYADHARPUR GOVT COLONY SERAMPORE 712202 | Age | 49 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||