Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04344 | Date 16/06/2023 |
| Token No | SM/22-23/9666 16/06/2023 | Serial | 033 |
| Patient Name | Mrs. AFREEN SABA | Contact No | 9007886220 |
| Address | FL NO-A-10/405 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||