Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02962 | Date 21/10/2022 |
| Token No | SM/22-23/3693 21/10/2022 | Serial | 025 |
| Patient Name | Miss PUJA DUBEY | Contact No | 6290872701 |
| Address | GHORAMARA SERAMPORE 712203 | Age | 15 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||