Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04603 | Date 25/07/2023 |
| Token No | SM/22-23/10923 25/07/2023 | Serial | 037 |
| Patient Name | Mrs. PRATIMA DAS | Contact No | 9830590975 |
| Address | BIGHATI BIGHATI HOOGHLY 712124 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||