Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05266 | Date 27/09/2023 |
| Token No | SM/22-23/13914 04/10/2023 | Serial | 031 |
| Patient Name | Mrs. SOMA DAS | Contact No | 6290077602 |
| Address | RAJYADHARPUR SERAMPORE GHORAMARA P 712203 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||