Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 03751 | Date 13/02/2023 |
| Token No | SM/24-25/26256 08/08/2024 | Serial | 045 |
| Patient Name | Mrs. TUMPA DAS | Contact No | 6290462326 |
| Address | 27/C JANNAGAR ROAD MAHESH 1 SERAMPORE 712202 | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||