Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03672 | Date 30/01/2023 |
| Token No | SM/22-23/6386 30/01/2023 | Serial | 050 |
| Patient Name | Baby PAPIYA BAG | Contact No | |
| Address | SERAMPORE | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||