Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01886 | Date 10/06/2022 |
| Token No | SM/22-23/4382 14/11/2022 | Serial | 014 |
| Patient Name | Mrs. GITA GUPTA | Contact No | 9088249682 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 46 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||