Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02009 | Date 23/06/2022 |
| Token No | SM/22-23/3210 30/09/2022 | Serial | 027 |
| Patient Name | Mrs. LAKKHI KHAN | Contact No | 7044353285 |
| Address | 106 G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||