Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04374 | Date 26/06/2023 |
| Token No | SM/22-23/9927 26/06/2023 | Serial | 036 |
| Patient Name | Mrs. JOLY MUKHERJEE | Contact No | |
| Address | SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||