Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02881 | Date 13/10/2022 |
| Token No | SM/22-23/3410 13/10/2022 | Serial | 016 |
| Patient Name | Mrs. RUPA GHOSH | Contact No | 8910659141 |
| Address | 21/A TARAPUKUR LANE SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||