Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00236 | Date 24/09/2019 |
| Token No | SM/22-23/6713 10/02/2023 | Serial | 012 |
| Patient Name | Mrs. SHANUYARA BIBI | Contact No | 7044162465 |
| Address | 11 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||