Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03485 | Date 23/12/2022 |
| Token No | SM/22-23/5593 23/12/2022 | Serial | 030 |
| Patient Name | Mrs. CHAYA BISWAS | Contact No | 8420420305 |
| Address | MOLLABER | Age | 63 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||