Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06500 | Date 30/03/2024 |
| Token No | SM/22-23/20337 30/03/2024 | Serial | 053 |
| Patient Name | Mrs. AMITA PAL | Contact No | |
| Address | SERAMPORE | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||