Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02912 | Date 17/10/2022 |
| Token No | SM/22-23/3839 29/10/2022 | Serial | 013 |
| Patient Name | Mrs. PORINITA DUTTA | Contact No | 9143080402 |
| Address | 10 DULEYPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||