Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03844 | Date 28/02/2023 |
| Token No | SM/22-23/7124 28/02/2023 | Serial | 047 |
| Patient Name | Mrs. JYOTHI CHOWDHURY | Contact No | |
| Address | SERAMPORE | Age | 27 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||