Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04133 | Date 03/05/2023 |
| Token No | SM/22-23/8561 03/05/2023 | Serial | 005 |
| Patient Name | Mrs. SUCHARITA DEY SAHA | Contact No | 9062524838 |
| Address | 144 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 28 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||