Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01604 | Date 20/05/2022 |
| Token No | SM/22-23/16 20/05/2022 | Serial | 014 |
| Patient Name | Mrs. GITA GHOSH | Contact No | 6291913794 |
| Address | 8/G/5 JAMIDAR BAGAN LANE SERAMPORE | Age | 53 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||