Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01926 | Date 15/06/2022 |
| Token No | SM/22-23/7883 29/03/2023 | Serial | 007 |
| Patient Name | Mrs. MAMATA DAS | Contact No | 8100899301 |
| Address | B/111/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||