Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02609 | Date 02/09/2022 |
| Token No | SM/22-23/3116 28/09/2022 | Serial | 008 |
| Patient Name | Mrs. MAYARANI SAHA | Contact No | 8116768337 |
| Address | MAYNAMAPARA MAYNAGURI JALPAIGURI 735224 | Age | 74 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||