Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02062 | Date 27/06/2022 |
| Token No | SM/22-23/3893 31/10/2022 | Serial | 030 |
| Patient Name | Mr. RABI DAS | Contact No | 9748359453 |
| Address | 25B SANIPARA LANE SERAMPORE 712203 | Age | 57 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||