Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05015 | Date 31/08/2023 |
| Token No | SM/22-23/12571 01/09/2023 | Serial | 014 |
| Patient Name | Mrs. MOUSUMI HALDER | Contact No | 8420910295 |
| Address | KINKARBATI HOOGHLY 712407 | Age | 27 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||