Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04366 | Date 23/06/2023 |
| Token No | SM/22-23/9846 23/06/2023 | Serial | 008 |
| Patient Name | Mrs. CHANCHALA GHOSH | Contact No | 9733033604 |
| Address | MAHESHPUR DIHIBAYARA HOOGHLY 712413 | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||