Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03918 | Date 13/03/2023 |
| Token No | SM/22-23/7541 14/03/2023 | Serial | 025 |
| Patient Name | Mrs. NITU JHA | Contact No | 7836865968 |
| Address | 9/A/1 TARAPUKUR COLONY SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||