Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04204 | Date 20/05/2023 |
| Token No | SM/22-23/9007 20/05/2023 | Serial | 032 |
| Patient Name | Mrs. RANU GHOSH | Contact No | |
| Address | SERAMPORE | Age | 42 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||