Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03367 | Date 09/12/2022 |
| Token No | SM/22-23/5160 09/12/2022 | Serial | 043 |
| Patient Name | Mrs. RUMPA SAHA | Contact No | 6290445166 |
| Address | 51/A G T ROAD SERAMPORE 712203 | Age | 25 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||