Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03341 | Date 07/12/2022 |
| Token No | SM/22-23/5062 07/12/2022 | Serial | 014 |
| Patient Name | Mrs. SRISTI RAM | Contact No | |
| Address | SERAMPORE | Age | 14 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||