Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01953 | Date 17/06/2022 |
| Token No | SM/22-23/639 17/06/2022 | Serial | 044 |
| Patient Name | Mrs. JHARNA ROY | Contact No | 8420792840 |
| Address | 94/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 58 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||