Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02811 | Date 28/09/2022 |
| Token No | SM/22-23/3132 28/09/2022 | Serial | 024 |
| Patient Name | Mrs. RATNA DAS | Contact No | 8981569084 |
| Address | BAGER BAGAN BAIDYABATI M 712204 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||