Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04046 | Date 12/04/2023 |
| Token No | SM/22-23/10488 13/07/2023 | Serial | 027 |
| Patient Name | Mrs. RUPA BEGUM | Contact No | 8961129410 |
| Address | GOPALNAGAR PAR GOPALNAGAR HOOGHLY 712407 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||