Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 01996 | Date 22/06/2022 |
| Token No | SM/22-23/723 22/06/2022 | Serial | 023 |
| Patient Name | Mrs. SITA DEVI | Contact No | 8981806760 |
| Address | 1/A/21 ADARSHNAGAR RISHRA M PRABASHNAGAR HOOGHLY 712249 | Age | 43 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||