Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02292 | Date 21/07/2022 |
| Token No | SM/22-23/1531 21/07/2022 | Serial | 009 |
| Patient Name | Mrs. CHANDA PATHAK | Contact No | 9903278538 |
| Address | SATGHARA SERAMPORE 712203 | Age | 22 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||