Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02643 | Date 06/09/2022 |
| Token No | SM/22-23/2524 06/09/2022 | Serial | 023 |
| Patient Name | Miss SUPRIYA KUMARI | Contact No | 9330566227 |
| Address | GHORAMARA PASCHIMPARA SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||