Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 04490 | Date 12/07/2023 |
| Token No | SM/22-23/10449 12/07/2023 | Serial | 029 |
| Patient Name | Mrs. CHAINA BIBI | Contact No | 9330645780 |
| Address | 162 N C GHOSH ROAD BAIDYABATI M SHEORAPHULI 712223 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||