Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06499 | Date 30/03/2024 |
| Token No | SM/22-23/20335 30/03/2024 | Serial | 051 |
| Patient Name | Mrs. ROSNI SINGH | Contact No | |
| Address | SERAMPORE | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||