Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04106 | Date 27/04/2023 |
| Token No | SM/22-23/8458 27/04/2023 | Serial | 031 |
| Patient Name | Mrs. DIPALI ADHIKARI | Contact No | 7278603862 |
| Address | 6 SANIPARA BYE LANE SERAMPORE 712203 | Age | 55 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||