Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03622 | Date 19/01/2023 |
| Token No | SM/22-23/6172 19/01/2023 | Serial | 014 |
| Patient Name | Mrs. MANJU SHAHU | Contact No | 9883246272 |
| Address | 4B LENIN SARANI SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||