Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06755 | Date 17/08/2022 |
| Token No | SM/24-25/16527 28/05/2024 | Serial | 015 |
| Patient Name | Mrs. BANI DE | Contact No | NOT GIVEN |
| Address | RAJBALHAT, HOOGHLY | Age | 71 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||