Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04220 | Date 26/05/2023 |
| Token No | SM/22-23/9948 27/06/2023 | Serial | 020 |
| Patient Name | Mrs. KAJAL KUMARI | Contact No | 9903049697 |
| Address | 9/A/1 TARAPUKUR LANE SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||