Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02766 | Date 23/09/2022 |
| Token No | SM/22-23/10256 06/07/2023 | Serial | 024 |
| Patient Name | Mrs. BELARANI BAIRAGI | Contact No | 9339335505 |
| Address | 9 SANIPARA BYE LANE SERAMPORE 712203 | Age | 78 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||