Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04357 | Date 19/06/2023 |
| Token No | SM/22-23/10877 24/07/2023 | Serial | 045 |
| Patient Name | Mrs. BULBULI HALDAR | Contact No | 7998312055 |
| Address | BIBIRBER SERAMPORE MALLICKPARA 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||