Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03920 | Date 13/03/2023 |
| Token No | SM/24-25/22109 21/05/2024 | Serial | 006 |
| Patient Name | Miss PAPIYA CHAKRABORTY | Contact No | 9038547170 |
| Address | C/118/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||