Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03907 | Date 10/03/2023 |
| Token No | SM/22-23/7438 10/03/2023 | Serial | 042 |
| Patient Name | Mrs. SAPNA DHAR | Contact No | |
| Address | SERAMPORE | Age | 20 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||