Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 01737 | Date 30/05/2022 |
| Token No | SM/22-23/207 30/05/2022 | Serial | 005 |
| Patient Name | Mrs. MALA SINGH | Contact No | |
| Address | PANCHU BABUR BAZAR SERAMPORE | Age | 45 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||