Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04144 | Date 04/05/2023 |
| Token No | SM/22-23/8620 04/05/2023 | Serial | 040 |
| Patient Name | Mrs. SUDIPTA ROY | Contact No | 8642818154 |
| Address | 44/6 G T ROQD JHILBAGAN SERAMPORE 712203 | Age | 34 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||