Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02723 | Date 19/09/2022 |
| Token No | SM/22-23/2956 23/09/2022 | Serial | 020 |
| Patient Name | Mrs. SANGITA MAJHI | Contact No | 6291065725 |
| Address | 6/A HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 65 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||