Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04053 | Date 13/04/2023 |
| Token No | SM/22-23/8212 13/04/2023 | Serial | 029 |
| Patient Name | Miss LISA BHAR | Contact No | 7557809291 |
| Address | RAJBALHAT HOOGHLY | Age | 25 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||