Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03598 | Date 13/01/2023 |
| Token No | SM/22-23/6055 13/01/2023 | Serial | 008 |
| Patient Name | Mrs. JHUMA SUTRADHAR | Contact No | 9831813933 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 36 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||