Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03357 | Date 08/12/2022 |
| Token No | SM/22-23/5111 08/12/2022 | Serial | 037 |
| Patient Name | Miss RISA SHARMA | Contact No | 6290761489 |
| Address | 6/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 17 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||