Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07840 | Date 05/09/2024 |
| Token No | SM/24-25/27765 05/09/2024 | Serial | 049 |
| Patient Name | Miss SWAPNA DEBNATH | Contact No | |
| Address | 28/30 TARAPUKUR COLONY SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||