Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04597 | Date 25/07/2023 |
| Token No | SM/22-23/10906 25/07/2023 | Serial | 020 |
| Patient Name | Mrs. USHADEVI ROUTH | Contact No | 8017328641 |
| Address | MALLICKPARA GHORAMARA P SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||