Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03523 | Date 28/12/2022 |
| Token No | SM/22-23/5727 28/12/2022 | Serial | 045 |
| Patient Name | Mrs. SIMA CHAKRABORTY | Contact No | 9051118858 |
| Address | 85/20 G T ROAD WEST SERAMPORE 712203 | Age | 46 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||