Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03268 | Date 28/11/2022 |
| Token No | SM/22-23/4789 28/11/2022 | Serial | 004 |
| Patient Name | Mrs. SONI JHA | Contact No | 7890812020 |
| Address | 13/59 NEW MAHESH B B GHOSH ROAD MALLICKPARA SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||