Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06483 | Date 26/07/2022 |
| Token No | SM/22-23/4058 26/07/2022 | Serial | 008 |
| Patient Name | Mrs. NANDINI PAL DEY | Contact No | 9674895457 |
| Address | RISHRA MOREPUKUR | Age | 56 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||