Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00845 | Date 03/02/2020 |
| Token No | SM/22-23/2834 19/09/2022 | Serial | 020 |
| Patient Name | Mrs. MILAN RUIDAS | Contact No | 6291282008 |
| Address | 5 DR B R AMBEDKAR LANE SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||