Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01642 | Date 23/05/2022 |
| Token No | SM/22-23/67 23/05/2022 | Serial | 036 |
| Patient Name | Mrs. SHYAMALI DUTTA | Contact No | 9875485429 |
| Address | LILUAH HOWRAH | Age | 49 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||