Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04015 | Date 06/04/2023 |
| Token No | SM/22-23/8024 06/04/2023 | Serial | 023 |
| Patient Name | Mrs. SANGITA SETH | Contact No | 9748485872 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 44 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||