Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01635 | Date 23/05/2022 |
| Token No | SM/22-23/58 23/05/2022 | Serial | 027 |
| Patient Name | Mrs. SNEHALATA BHATTACHARYA | Contact No | 9831602631 |
| Address | PRABASHNAGAR PURBAPARA SERAMPORE 712249 | Age | 63 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||