Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02835 | Date 30/09/2022 |
| Token No | SM/22-23/3225 30/09/2022 | Serial | 042 |
| Patient Name | Mrs. SUMITA DUTTA | Contact No | 9007221735 |
| Address | RISHRA MOREPUKUR DAKSHIN PARA RISHRA M | Age | 25 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||