Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04430 | Date 04/07/2023 |
| Token No | SM/22-23/10169 04/07/2023 | Serial | 055 |
| Patient Name | Mrs. SONAM SHAW | Contact No | 8276080399 |
| Address | LENIN SARANI SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||