Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02868 | Date 12/10/2022 |
| Token No | SM/22-23/3381 12/10/2022 | Serial | 032 |
| Patient Name | Mrs. GITARANI SEN | Contact No | 9830306579 |
| Address | 1 NO SANIPARA BYE LANE SERAMPORE 712203 | Age | 82 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||