Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01800 | Date 01/06/2022 |
| Token No | SM/22-23/9149 27/05/2023 | Serial | 036 |
| Patient Name | Mrs. RITUPARNA SADHUKHAN | Contact No | 9775763511 |
| Address | PANDUA | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||