Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02031 | Date 24/06/2022 |
| Token No | SM/22-23/819 24/06/2022 | Serial | 002 |
| Patient Name | Mrs. PRABHATI DAS | Contact No | 9038787590 |
| Address | GHORAMARA SERAMPORE MALLICKPARA HOOGHLY 712203 | Age | 52 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||