Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02377 | Date 02/08/2022 |
| Token No | SM/22-23/1788 02/08/2022 | Serial | 004 |
| Patient Name | Mrs. SARNALI GHOSH | Contact No | |
| Address | SERAMPORE | Age | 43 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||