Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03162 | Date 16/11/2022 |
| Token No | SM/22-23/4471 16/11/2022 | Serial | 040 |
| Patient Name | Mrs. SUMITRA GOSWAMI | Contact No | 9088459544 |
| Address | 150/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 60 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||