Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01881 | Date 10/06/2022 |
| Token No | SM/22-23/1215 07/07/2022 | Serial | 037 |
| Patient Name | Mrs. BANDANA MAJHI | Contact No | 9088028679 |
| Address | 10/1 HARIPARA LANE SERAMPORE 712203 | Age | 30 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||