Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03150 | Date 16/11/2022 |
| Token No | SM/22-23/4447 16/11/2022 | Serial | 016 |
| Patient Name | Mrs. KALPANA MITRA | Contact No | |
| Address | 131Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 63 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||