Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03840 | Date 28/02/2023 |
| Token No | SM/22-23/8679 10/05/2023 | Serial | 007 |
| Patient Name | Mrs. MADHUMITA DAS | Contact No | 9903059560 |
| Address | 138 NO RAJYADHARPUR GOVT COLONY SERAMPORE | Age | 22 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||