Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02325 | Date 27/07/2022 |
| Token No | SM/22-23/1630 27/07/2022 | Serial | 038 |
| Patient Name | Mrs. TANJILA BIBI | Contact No | 6291357169 |
| Address | GOURANGAPUR DAKSHINPARA BHADRESWAR 712124 | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||