Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01810 | Date 01/06/2022 |
| Token No | SM/22-23/4932 01/12/2022 | Serial | 014 |
| Patient Name | Mrs. ARATI BHATTACHARJEE | Contact No | 9674177496 |
| Address | 43/16 PRABASHNAGAR SERAMPORE 712249 | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||