Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00038 | Date 07/09/2019 |
| Token No | SM/22-23/3267 08/10/2022 | Serial | 002 |
| Patient Name | Mrs. GURUPRIYA SHAW | Contact No | 9123980219 |
| Address | BIBIRBER SERAMPORE 712203 | Age | 68 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||