Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03250 | Date 25/11/2022 |
| Token No | SM/22-23/4725 25/11/2022 | Serial | 012 |
| Patient Name | Mrs. SUMITRA HATI | Contact No | 9239209757 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 54 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||