Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02214 | Date 13/07/2022 |
| Token No | SM/22-23/1370 15/07/2022 | Serial | 040 |
| Patient Name | Mrs. BHABANI NATH | Contact No | 9163931102 |
| Address | 10/L HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||