Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03481 | Date 23/12/2022 |
| Token No | SM/22-23/5581 23/12/2022 | Serial | 018 |
| Patient Name | Mrs. SILA DEY | Contact No | 9062540994 |
| Address | 145/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 40 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||