Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01981 | Date 21/06/2022 |
| Token No | SM/22-23/904 27/06/2022 | Serial | 038 |
| Patient Name | Mrs. SABITA SARKAR | Contact No | 8583920534 |
| Address | 30/76 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||