Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09561 | Date 06/07/2023 |
| Token No | SM/22-23/10803 12/07/2023 | Serial | 009 |
| Patient Name | Miss SEMANTI GANGULY | Contact No | 8777463284 |
| Address | BHADRESWAR | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||