Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04537 | Date 19/07/2023 |
| Token No | SM/24-25/34157 15/01/2025 | Serial | 011 |
| Patient Name | Mrs. SABITA GHOSH | Contact No | 9674118392 |
| Address | 73/A RAJYADARPUR GOVT COLONY SERAMPORE 712203 | Age | 63 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||