Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02445 | Date 12/08/2022 |
| Token No | SM/22-23/5629 24/12/2022 | Serial | 030 |
| Patient Name | Mrs. SANCHITA CHOWDHURY | Contact No | 9007827677 |
| Address | 12/C TARAPUKUR LANE SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||