Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02637 | Date 06/09/2022 |
| Token No | SM/22-23/7577 16/03/2023 | Serial | 002 |
| Patient Name | Mrs. REKHA SUTRADHAR | Contact No | 9062270843 |
| Address | GHORAMARA P SERAMPORE HOOGHLY 712203 | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||