Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02323 | Date 27/07/2022 |
| Token No | SM/22-23/2892 21/09/2022 | Serial | 012 |
| Patient Name | Mrs. KAJAL DAS | Contact No | 8274819429 |
| Address | 822 3NO NATUNGRAM MOREPUKUR RISHRA 712250 | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||