Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04748 | Date 08/08/2023 |
| Token No | SM/22-23/11653 10/08/2023 | Serial | 043 |
| Patient Name | Mrs. DUKHINI HARI | Contact No | 9123073650 |
| Address | BIBIRBER GHORAMARA P SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||