Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02906 | Date 15/10/2022 |
| Token No | SM/22-23/3498 15/10/2022 | Serial | 032 |
| Patient Name | Mrs. MAHIMA BEGAM | Contact No | 7980042064 |
| Address | 5/A/3 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 30 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||