Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02905 | Date 15/10/2022 |
| Token No | SM/22-23/3497 15/10/2022 | Serial | 031 |
| Patient Name | Mrs. YASMIN PARVEEN | Contact No | 8017332368 |
| Address | 17/E/1 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 24 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||