Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02090 | Date 29/06/2022 |
| Token No | SM/22-23/1050 04/07/2022 | Serial | 017 |
| Patient Name | Mrs. JHUMKI MANDAL PAL | Contact No | 6291817045 |
| Address | 25/A SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 37 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||