Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07795 | Date 02/09/2024 |
| Token No | SM/24-25/27511 02/09/2024 | Serial | 047 |
| Patient Name | Miss RIYONA ROY | Contact No | 9330855291 |
| Address | 58/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||