Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02410 | Date 08/08/2022 |
| Token No | SM/22-23/2008 12/08/2022 | Serial | 030 |
| Patient Name | Mrs. SAKUNTALA BANERJEE | Contact No | 8910947796 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 42 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||