Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 03330 | Date 06/12/2022 |
| Token No | SM/22-23/5017 06/12/2022 | Serial | 015 |
| Patient Name | Mrs. MUNNI DEVI | Contact No | 9875622935 |
| Address | 16 BAZAR BYE LANE SERAMPORE 712201 | Age | 48 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||