Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03138 | Date 14/11/2022 |
| Token No | SM/22-23/4393 14/11/2022 | Serial | 025 |
| Patient Name | Mrs. PAPIYA DAS | Contact No | 9874327420 |
| Address | 30/42 TARAPUKUR COLONY MALLICKPARA SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||