Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04882 | Date 19/08/2023 |
| Token No | SM/22-23/12064 19/08/2023 | Serial | 034 |
| Patient Name | Mrs. SUNITA BHAR LAHA | Contact No | 7980187673 |
| Address | 15 GOBINDA CHANDRA BHATTACHARYA LANE SERAMPORE 712201 | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||