Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01000 | Date 18/02/2020 |
| Token No | SM/22-23/7880 29/03/2023 | Serial | 004 |
| Patient Name | Mrs. BAKUL RANI DUTTA | Contact No | 9804641583 |
| Address | 43/46/C/2 SERAMPORE PRABASHNAGAR 712249 | Age | 68 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||