Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01646 | Date 23/05/2022 |
| Token No | SM/22-23/72 23/05/2022 | Serial | 041 |
| Patient Name | Mrs. PUNAM MAHATO | Contact No | |
| Address | SERAMPORE | Age | 26 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||