Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02933 | Date 18/10/2022 |
| Token No | SM/22-23/6662 08/02/2023 | Serial | 029 |
| Patient Name | Mrs. JYOTSNA SAHA | Contact No | 9883262063 |
| Address | 10/3 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 72 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||