Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 01653 | Date 25/05/2022 |
| Token No | SM/22-23/89 25/05/2022 | Serial | 001 |
| Patient Name | Mrs. RUMA DAS | Contact No | 9836563586 |
| Address | 20 BAJAR BYE LANE SERAMPORE 712201 | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||