Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00984 | Date 17/02/2020 |
| Token No | SM/22-23/6959 20/02/2023 | Serial | 036 |
| Patient Name | Miss AMRITA ADAK | Contact No | 9475100476 |
| Address | AMULYA KANAN SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||