Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02894 | Date 14/10/2022 |
| Token No | SM/22-23/3457 14/10/2022 | Serial | 026 |
| Patient Name | Mrs. SHEPHALI SADHU | Contact No | 9836280266 |
| Address | 32 SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 56 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||