Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01891 | Date 10/06/2022 |
| Token No | SM/22-23/6701 09/02/2023 | Serial | 035 |
| Patient Name | Mrs. SHAMPA MONDAL MANNA | Contact No | 9123780283 |
| Address | 45/11/A G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||