Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02127 | Date 04/07/2022 |
| Token No | SM/22-23/1054 04/07/2022 | Serial | 021 |
| Patient Name | Mrs. LAKSHMIRANI KHAN | Contact No | 8100414854 |
| Address | JAGANNATHPUR BAMUNARI HOOGHLY 712250 | Age | 71 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||