Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03933 | Date 14/03/2023 |
| Token No | SM/22-23/7550 14/03/2023 | Serial | 034 |
| Patient Name | Mrs. SWETA DUTTA GUPTA | Contact No | 9831991256 |
| Address | 68/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||