Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05167 | Date 18/09/2023 |
| Token No | SM/22-23/16069 02/12/2023 | Serial | 015 |
| Patient Name | Mrs. RAKHI PRASAD | Contact No | 7003532564 |
| Address | 61/U G.T ROAD SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||