Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00667 | Date 04/01/2020 |
| Token No | SM/22-23/5607 24/12/2022 | Serial | 008 |
| Patient Name | Mrs. DIPTI NAG | Contact No | 7449911910 |
| Address | 30/66 TARAPUKUR COLONY SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||