Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 03355 | Date 08/12/2022 |
| Token No | SM/22-23/5108 08/12/2022 | Serial | 034 |
| Patient Name | Mrs. AYESHA DAS | Contact No | 9330376307 |
| Address | 13 LAL BAHADUR SASTRI ROAD SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||