Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 03111 | Date 10/11/2022 |
| Token No | SM/22-23/4269 10/11/2022 | Serial | 042 |
| Patient Name | Mrs. SUKLA GUHA | Contact No | 9748782396 |
| Address | 270 MAHESH COLONY MAHESH 1 SERAMPORE 712202 | Age | 39 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||