Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03229 | Date 23/11/2022 |
| Token No | SM/22-23/4668 23/11/2022 | Serial | 025 |
| Patient Name | Mrs. BANDANA DEY | Contact No | 9836612423 |
| Address | 30/58 TARAPUKUR COLONY SERAMPORE 712203 | Age | 50 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||