Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00424 | Date 23/11/2019 |
| Token No | SM/22-23/14757 27/10/2023 | Serial | 029 |
| Patient Name | Mrs. SIPRA DAS | Contact No | |
| Address | SERAMPORE | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||