Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01862 | Date 10/06/2022 |
| Token No | SM/22-23/8152 11/04/2023 | Serial | 031 |
| Patient Name | Mrs. SHILA BASU | Contact No | 9903127125 |
| Address | 5/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 74 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||