Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01906 | Date 13/06/2022 |
| Token No | SM/22-23/4423 14/11/2022 | Serial | 055 |
| Patient Name | Mrs. ANKITA SAHA | Contact No | 9123631141 |
| Address | 65/28 F D ROAD SERAMPORE 712203 | Age | 25 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||