Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04431 | Date 04/07/2023 |
| Token No | SM/22-23/10170 04/07/2023 | Serial | 056 |
| Patient Name | Mrs. TANUSREE SAHA | Contact No | 8910760830 |
| Address | 8/C JAMIDAR BAGAN LANE SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||