Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 02036 | Date 24/06/2022 |
| Token No | SM/22-23/829 24/06/2022 | Serial | 012 |
| Patient Name | Mrs. BHARATI BARAT | Contact No | 9432385474 |
| Address | 15/A AUDDY LANE SERAMPORE HOOGHLY 712201 | Age | 70 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||