Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03976 | Date 22/03/2023 |
| Token No | SM/22-23/7735 22/03/2023 | Serial | 008 |
| Patient Name | Mrs. SABAN BEGUM | Contact No | |
| Address | SERAMPORE | Age | 41 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||