Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02570 | Date 26/08/2022 |
| Token No | SM/24-25/26750 17/08/2024 | Serial | 025 |
| Patient Name | Mrs. SANDHYARANI DAS | Contact No | 9836086675 |
| Address | 10/P HARIPARA LANE SERAMPORE 712203 | Age | 84 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||