Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00450 | Date 25/11/2019 |
| Token No | SM/22-23/3441 14/10/2022 | Serial | 010 |
| Patient Name | Mrs. KALO ROY | Contact No | 7980734174 |
| Address | GHORAMARA SERAMPORE 712203 | Age | 63 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||