Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03137 | Date 14/11/2022 |
| Token No | SM/22-23/4388 14/11/2022 | Serial | 020 |
| Patient Name | Mrs. BANDANA BAG | Contact No | |
| Address | 13 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 40 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||