Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03480 | Date 23/12/2022 |
| Token No | SM/22-23/5576 23/12/2022 | Serial | 013 |
| Patient Name | Mrs. APARNA SARKAR | Contact No | 9830441593 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||