Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03506 | Date 27/12/2022 |
| Token No | SM/22-23/5699 28/12/2022 | Serial | 017 |
| Patient Name | Mrs. SABITA BAG | Contact No | 9088082011 |
| Address | 30/13 TARAPUKUR COLONY MALLICKPARA SERAMPORE 712203 | Age | 66 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||