Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03305 | Date 01/12/2022 |
| Token No | SM/22-23/4929 01/12/2022 | Serial | 011 |
| Patient Name | Mrs. SANDHYA SAHA | Contact No | 8981316998 |
| Address | 4A TARAPUKUR COLONY SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||