Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03067 | Date 07/11/2022 |
| Token No | SM/22-23/4113 07/11/2022 | Serial | 012 |
| Patient Name | Mrs. RISHA BARAT | Contact No | 8902676369 |
| Address | 15/A AUDDY LANE SERAMPORE 712201 | Age | 26 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||