Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03227 | Date 23/11/2022 |
| Token No | SM/22-23/4665 23/11/2022 | Serial | 022 |
| Patient Name | Mrs. NIBEDITA DAS | Contact No | 8777838802 |
| Address | 35/1 TARAPUKUR LANE SERAMPORE 712203 | Age | 23 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||