Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02069 | Date 27/06/2022 |
| Token No | SM/22-23/7365 09/03/2023 | Serial | 019 |
| Patient Name | Mrs. ANJALI PAL | Contact No | 9831663114 |
| Address | GHORAMARA P PURBAPARA SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||