Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03448 | Date 19/12/2022 |
| Token No | SM/22-23/5445 19/12/2022 | Serial | 039 |
| Patient Name | Mrs. ARATI ROY | Contact No | 9051109233 |
| Address | 10 TARAPUKUR COLONY SERAMPORE 712203 | Age | 43 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||