Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03244 | Date 24/11/2022 |
| Token No | SM/22-23/4712 24/11/2022 | Serial | 033 |
| Patient Name | Mrs. SERINA PRASAD | Contact No | 9123351627 |
| Address | 24 G T ROAD JHILBAGAN MALLICKPARA SERAMPORE 712203 | Age | 30 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||