Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01945 | Date 17/06/2022 |
| Token No | SM/22-23/622 17/06/2022 | Serial | 027 |
| Patient Name | Mrs. KAKALI SADHUKHAN | Contact No | 7439416654 |
| Address | 41 TARAPUKUR LANE SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||