Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03787 | Date 16/02/2023 |
| Token No | SM/22-23/6887 16/02/2023 | Serial | 063 |
| Patient Name | Mrs. BABITA BERA | Contact No | 6291714149 |
| Address | 38/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||