Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04342 | Date 16/06/2023 |
| Token No | SM/24-25/21835 11/05/2024 | Serial | 031 |
| Patient Name | Mrs. SWAPNA GHOSH | Contact No | 9674118392 |
| Address | 73/A RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||