Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06529 | Date 28/07/2022 |
| Token No | SM/22-23/4139 28/07/2022 | Serial | 001 |
| Patient Name | Mrs. RAKHI KUMARI PASWAN | Contact No | 7980251493 |
| Address | VILL: VITASIN, P.S: PANDUA, HOOGHLY | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||