Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02922 | Date 17/10/2022 |
| Token No | SM/22-23/3554 17/10/2022 | Serial | 056 |
| Patient Name | Mrs. PUTUL DEBI | Contact No | 8240117477 |
| Address | SATGHARA PASCHIMPARA SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||