Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04107 | Date 27/04/2023 |
| Token No | SM/22-23/9478 10/06/2023 | Serial | 047 |
| Patient Name | Mrs. PARULI HALDER | Contact No | 9051773438 |
| Address | 101/A/4/D G T ROAD SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||