Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06635 | Date 25/04/2024 |
| Token No | SM/24-25/22281 24/05/2024 | Serial | 052 |
| Patient Name | Mrs. SHAMPA GHOSH | Contact No | 9002858923 |
| Address | BHUSHAN POWER STILL | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||