Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 03811 | Date 21/02/2023 |
| Token No | SM/22-23/6970 21/02/2023 | Serial | 007 |
| Patient Name | Mrs. DEBJANI BANERJEE | Contact No | |
| Address | 326 G T ROAD SERAMPORE MAHESH 712203 | Age | 45 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||