Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07596 | Date 11/11/2022 |
| Token No | SM/22-23/6196 11/11/2022 | Serial | 001 |
| Patient Name | Mrs. USHA SINGH | Contact No | |
| Address | SERAMPORE | Age | 65 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||