Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04172 | Date 12/05/2023 |
| Token No | SM/22-23/8789 12/05/2023 | Serial | 036 |
| Patient Name | Mrs. KALPANA DEBNATH | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 50 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||