Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03814 | Date 22/02/2023 |
| Token No | SM/22-23/9326 06/06/2023 | Serial | 013 |
| Patient Name | Mrs. SAKINA BIBI | Contact No | 8334915967 |
| Address | 4 RAYGHAT LANE SERAMPORE 712201 | Age | 74 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||