Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 01836 | Date 08/06/2022 |
| Token No | SM/22-23/397 08/06/2022 | Serial | 011 |
| Patient Name | Mrs. PAMPA MALLICK BHAR | Contact No | 9123631197 |
| Address | JHAUTALA SERAMPORE | Age | 38 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||