Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02309 | Date 27/07/2022 |
| Token No | SM/22-23/6767 13/02/2023 | Serial | 039 |
| Patient Name | Mrs. PARBATI BANIK | Contact No | 8335977022 |
| Address | 24/D TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||