Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02501 | Date 22/08/2022 |
| Token No | SM/22-23/3584 18/10/2022 | Serial | 014 |
| Patient Name | Mrs. RENUKA ROY | Contact No | 9903912645 |
| Address | 11 NO DULEPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 67 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||