Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05974 | Date 30/05/2022 |
| Token No | SM/22-23/3173 30/05/2022 | Serial | 012 |
| Patient Name | Mrs. PRIYANKA MALIK | Contact No | 9832123730 |
| Address | DARINAKUNDA HOOGHLY | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||