Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 01597 | Date 20/05/2022 |
| Token No | SM/22-23/47 23/05/2022 | Serial | 016 |
| Patient Name | Mrs. RAMA MAJHI | Contact No | 7450876620 |
| Address | 6 NO SATISH CHANDRA GHOSH LANE SERAMPORE | Age | 21 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||