Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02333 | Date 28/07/2022 |
| Token No | SM/22-23/1658 28/07/2022 | Serial | 010 |
| Patient Name | Mrs. MUNMUN DAS | Contact No | 8910947796 |
| Address | RAJYADHARPUR GHORAMARA SERAMPORE 712203 | Age | 30 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||