Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03139 | Date 14/11/2022 |
| Token No | SM/22-23/4398 14/11/2022 | Serial | 030 |
| Patient Name | Miss PREETI MISHRA | Contact No | 9874328489 |
| Address | 1 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 24 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||