Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04901 | Date 21/08/2023 |
| Token No | SM/22-23/12131 21/08/2023 | Serial | 067 |
| Patient Name | Mrs. ALPANA SEN | Contact No | 9830306579 |
| Address | 1 SANIPARA BYE LANE SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||