Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03349 | Date 08/12/2022 |
| Token No | SM/22-23/5794 30/12/2022 | Serial | 026 |
| Patient Name | Mrs. SAYANTANI SAHA | Contact No | 6291819095 |
| Address | DANKUNI SRI PALLY | Age | 28 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||