Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03374 | Date 10/12/2022 |
| Token No | SM/22-23/5175 10/12/2022 | Serial | 006 |
| Patient Name | Mrs. PUNAM CHAKRABORTY | Contact No | 9883443146 |
| Address | SERAMPORE | Age | 33 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||