Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04428 | Date 04/07/2023 |
| Token No | SM/24-25/28819 27/09/2024 | Serial | 018 |
| Patient Name | Mrs. DIPA BANERJEE | Contact No | 9732019504 |
| Address | 215/2 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||