Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01975 | Date 21/06/2022 |
| Token No | SM/22-23/675 21/06/2022 | Serial | 023 |
| Patient Name | Mrs. RENU BANIK | Contact No | 7044760105 |
| Address | D/158/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 74 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||