Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 06594 | Date 20/04/2024 |
| Token No | SM/24-25/20934 20/04/2024 | Serial | 033 |
| Patient Name | Mrs. RATNA BHADRA DE | Contact No | 8902004465 |
| Address | 42 DHULI PARA LANE SERAMPORE 712201 | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||