Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03094 | Date 09/11/2022 |
| Token No | SM/22-23/4204 09/11/2022 | Serial | 039 |
| Patient Name | Mrs. BABITA DEVI | Contact No | 8481951046 |
| Address | 810 PURBA PARA GHORAMARA SERAMPORE 712203 | Age | 29 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||