Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05802 | Date 05/12/2023 |
| Token No | SM/22-23/16198 05/12/2023 | Serial | 038 |
| Patient Name | Mrs. LAXMI SINGH | Contact No | 9681415242 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||