Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02858 | Date 10/10/2022 |
| Token No | SM/22-23/3314 10/10/2022 | Serial | 025 |
| Patient Name | Mrs. TULIKA KUMARI | Contact No | 7687015922 |
| Address | 1 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||