Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02006 | Date 22/06/2022 |
| Token No | SM/22-23/748 22/06/2022 | Serial | 048 |
| Patient Name | Mrs. MAMPI HARIJON | Contact No | 9062236036 |
| Address | 46 SUREN SARKAR ROAD BELEGHATA KOLKATA 700010 | Age | 30 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||