Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02747 | Date 22/09/2022 |
| Token No | SM/22-23/9011 22/05/2023 | Serial | 004 |
| Patient Name | Mrs. DEBIKA GHOSH | Contact No | 9804935828 |
| Address | PANDUA PANDUA HOOGHLY 712149 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||