Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06482 | Date 26/07/2022 |
| Token No | SM/22-23/4057 26/07/2022 | Serial | 007 |
| Patient Name | Mrs. DIPU DEY | Contact No | 9436852120 |
| Address | RISHRA MOREPUKUR | Age | 60 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||