Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00937 | Date 12/02/2020 |
| Token No | SM/22-23/1174 06/07/2022 | Serial | 065 |
| Patient Name | Mrs. NILIMA SEN | Contact No | 9475100476 |
| Address | AMULYA KANAN HOUSING SERAMPORE | Age | 48 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||