Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05890 | Date 18/12/2023 |
| Token No | SM/22-23/16630 18/12/2023 | Serial | 023 |
| Patient Name | Mrs. DOLI MAL | Contact No | 9088251657 |
| Address | 12 LENIN SARANI SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||