Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03415 | Date 15/12/2022 |
| Token No | SM/22-23/5348 15/12/2022 | Serial | 038 |
| Patient Name | Mrs. SUMITRA CHOUDHURI | Contact No | 7439267322 |
| Address | 55 ROY LAND ROAD SERAMPORE 712201 | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||