Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02252 | Date 18/07/2022 |
| Token No | SM/22-23/1404 18/07/2022 | Serial | 027 |
| Patient Name | Mrs. NASIRA BIBI | Contact No | 9330141635 |
| Address | BIGHATI GOURANGAPUR HOOGHLY 712124 | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||