Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 02232 | Date 15/07/2022 |
| Token No | SM/22-23/1349 15/07/2022 | Serial | 019 |
| Patient Name | Mrs. PUSPA DEBI | Contact No | 9163002366 |
| Address | S K NAGAR RISHRA M HOOGHLY 712249 | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||