Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01348 | Date 04/04/2020 |
| Token No | SM/22-23/6444 01/02/2023 | Serial | 011 |
| Patient Name | Mrs. ANJU BIBI | Contact No | 9836383961 |
| Address | 37/2 MALLICKPARA LANE SERAMPORE 712203 | Age | 48 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||