Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03656 | Date 28/01/2023 |
| Token No | SM/22-23/6300 28/01/2023 | Serial | 006 |
| Patient Name | Mrs. MEGHA DOLUI | Contact No | 7890566112 |
| Address | B/98/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||