Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01663 | Date 25/05/2022 |
| Token No | SM/22-23/103 25/05/2022 | Serial | 015 |
| Patient Name | Mrs. ASGARI BEGAM | Contact No | 9432063846 |
| Address | BHARATAJPUR HOOGHLY 712306 | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||