Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02066 | Date 27/06/2022 |
| Token No | SM/22-23/903 27/06/2022 | Serial | 037 |
| Patient Name | Mrs. RENUBALA BANIK | Contact No | |
| Address | TARAPUKUR QUARTER SERAMPORE 712203 | Age | 72 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||