Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03618 | Date 19/01/2023 |
| Token No | SM/22-23/6159 19/01/2023 | Serial | 001 |
| Patient Name | Mrs. SARASWATI MISHRA | Contact No | 9874328489 |
| Address | 1 HARI PARA LANE MALLICKPARA SERAMPORE 712203 | Age | 46 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||