Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03825 | Date 23/02/2023 |
| Token No | SM/22-23/7027 23/02/2023 | Serial | 028 |
| Patient Name | Miss KAMILIA MODAK | Contact No | 8584046781 |
| Address | AMULYA KANAN SERAMPORE 712203 | Age | 20 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||