Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02416 | Date 08/08/2022 |
| Token No | SM/22-23/1943 10/08/2022 | Serial | 041 |
| Patient Name | Mrs. SWAPNA KHAMRUI | Contact No | |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 52 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||