Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02194 | Date 12/07/2022 |
| Token No | SM/22-23/1296 13/07/2022 | Serial | 050 |
| Patient Name | Mrs. LACHHMI DEVI | Contact No | |
| Address | ALUGUDAM,SERAMPORE | Age | 37 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||