Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06264 | Date 30/06/2022 |
| Token No | SM/22-23/3705 30/06/2022 | Serial | 014 |
| Patient Name | Mrs. PRATIMA MALIK | Contact No | |
| Address | NAKUNDA HOOGHLY | Age | 48 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||