Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02440 | Date 12/08/2022 |
| Token No | SM/22-23/1982 12/08/2022 | Serial | 004 |
| Patient Name | Mrs. RANI PRASAD | Contact No | 8902706545 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||