Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02570 | Date 26/08/2022 |
| Token No | SM/22-23/15753 23/11/2023 | Serial | 035 |
| Patient Name | Mrs. SANDHYARANI DAS | Contact No | 9836086675 |
| Address | 10/P HARIPARA LANE SERAMPORE 712203 | Age | 84 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||