Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02961 | Date 21/10/2022 |
| Token No | SM/22-23/3689 21/10/2022 | Serial | 021 |
| Patient Name | Mrs. GURIYA DEVI | Contact No | 6290872701 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 36 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||