Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06972 | Date 07/09/2022 |
| Token No | SM/22-23/4978 07/09/2022 | Serial | 026 |
| Patient Name | Mrs. PAPIYA DAS | Contact No | 9674852268 |
| Address | SANKRAIL, HOWRAH | Age | 39 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||