Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05354 | Date 06/10/2023 |
| Token No | SM/22-23/14030 06/10/2023 | Serial | 035 |
| Patient Name | Mrs. RUMU JANA | Contact No | 9635093825 |
| Address | BHAGWANPUR PURBA MEDINIPUR 721601 | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||