Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 01601 | Date 20/05/2022 |
| Token No | SM/22-23/3199 30/09/2022 | Serial | 016 |
| Patient Name | Mrs. SONI SHAW | Contact No | 8100469558 |
| Address | 9 S S ROAD PRAVASHNAGAR RISHRA M HOOGHLY 712249 | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||