Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03939 | Date 15/03/2023 |
| Token No | SM/22-23/7567 15/03/2023 | Serial | 014 |
| Patient Name | Miss RENUFA BIBI | Contact No | 9748396431 |
| Address | 17/B TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||