Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01805 | Date 01/06/2022 |
| Token No | SM/22-23/8151 11/04/2023 | Serial | 030 |
| Patient Name | Mrs. KAJAL MONDAL | Contact No | 8777477002 |
| Address | FULUI FULUI HOOGHLY 712122 | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||