Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08788 | Date 21/04/2023 |
| Token No | SM/22-23/8996 21/04/2023 | Serial | 016 |
| Patient Name | Mrs. UMA SANTRA | Contact No | |
| Address | SEAMPORE | Age | 29 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||