Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03642 | Date 24/01/2023 |
| Token No | SM/22-23/6252 24/01/2023 | Serial | 021 |
| Patient Name | Mrs. AFSANA BEGUM | Contact No | 7003167948 |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||