Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03800 | Date 20/02/2023 |
| Token No | SM/22-23/6933 20/02/2023 | Serial | 010 |
| Patient Name | Mrs. RINA DEY | Contact No | |
| Address | SERAMPORE | Age | 57 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||