Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04152 | Date 06/05/2023 |
| Token No | SM/22-23/8656 06/05/2023 | Serial | 027 |
| Patient Name | Mrs. SATHI DAS | Contact No | 9749254204 |
| Address | MALIHATI MURSHIDABAD | Age | 16 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||