Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03496 | Date 24/12/2022 |
| Token No | SM/22-23/5878 03/01/2023 | Serial | 011 |
| Patient Name | Mrs. ARJANA BEGUM | Contact No | 9831331624 |
| Address | 134 NO 2NO RAJYADHARPUR GOVT COLONI SERAMPORE 712203 | Age | 22 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||