Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04037 | Date 10/04/2023 |
| Token No | SM/22-23/8647 06/05/2023 | Serial | 018 |
| Patient Name | Mrs. MUNMUN BANIK | Contact No | 8017532798 |
| Address | 30/68 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||