Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04354 | Date 17/06/2023 |
| Token No | SM/22-23/9704 17/06/2023 | Serial | 033 |
| Patient Name | Mrs. KRISHNA DAS | Contact No | 9674974019 |
| Address | 2 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||