Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00093 | Date 12/09/2019 |
| Token No | SM/22-23/9179 29/05/2023 | Serial | 030 |
| Patient Name | Mrs. RUPALI GUHA ROY | Contact No | 9831878150 |
| Address | NURSARY MATH SERAMPORE 712203 | Age | 63 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||