Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04061 | Date 17/04/2023 |
| Token No | SM/22-23/8269 17/04/2023 | Serial | 050 |
| Patient Name | Mrs. SUMITA SANTRA | Contact No | |
| Address | 14 JAMIDAR BAGAN LANE SERAMPORE 712203 | Age | 46 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||