Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 01882 | Date 10/06/2022 |
| Token No | SM/22-23/2674 12/09/2022 | Serial | 027 |
| Patient Name | Mrs. MANJU JOSHI KAR | Contact No | 7468803040 |
| Address | 53 K M BHATTACHARJEE STREET SERAMPORE 712202 | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||