Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01801 | Date 01/06/2022 |
| Token No | SM/22-23/312 01/06/2022 | Serial | 040 |
| Patient Name | Mr. PURANA SHAW | Contact No | |
| Address | 10R HARIPARA LANE SERAMPORE 712203 | Age | 59 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||