Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02745 | Date 22/09/2022 |
| Token No | SM/22-23/3744 22/10/2022 | Serial | 023 |
| Patient Name | Mrs. KAUSHALA DEBI | Contact No | 7890638191 |
| Address | 1 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 86 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||