Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02430 | Date 10/08/2022 |
| Token No | SM/22-23/5190 12/12/2022 | Serial | 001 |
| Patient Name | Mrs. MAHARANI DAS | Contact No | 9051754536 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 45 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||