Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03062 | Date 05/11/2022 |
| Token No | SM/22-23/4094 05/11/2022 | Serial | 016 |
| Patient Name | Mrs. DULU BISWAS | Contact No | |
| Address | 65/14/2 CHATRA BAIDYABATI M 712204 | Age | 46 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||