Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02844 | Date 07/10/2022 |
| Token No | SM/22-23/3589 18/10/2022 | Serial | 019 |
| Patient Name | Mrs. SAHARUN BIBI | Contact No | 8420865211 |
| Address | 24/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 66 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||