Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00680 | Date 07/01/2020 |
| Token No | SM/22-23/1645 27/07/2022 | Serial | 053 |
| Patient Name | Mrs. USHA SINGH | Contact No | 7044765580 |
| Address | BANGIHATI MALLICKPARA SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||