Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04377 | Date 27/06/2023 |
| Token No | SM/22-23/17347 09/01/2024 | Serial | 024 |
| Patient Name | Mrs. RUKHSANA KHATOON | Contact No | 8620057283 |
| Address | 8 NO HARIPARA LANE SERAMPORE M 712203 | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 91 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||