Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 01658 | Date 25/05/2022 |
| Token No | SM/22-23/3564 17/10/2022 | Serial | 066 |
| Patient Name | Mrs. PRABHA SEN | Contact No | 8017298331 |
| Address | 53/J J N LAHIRI ROAD SERAMPORE 712202 | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||