Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05421 | Date 12/10/2023 |
| Token No | SM/22-23/14341 12/10/2023 | Serial | 057 |
| Patient Name | Mrs. SARASWATI SIL BISWAS | Contact No | 8981118467 |
| Address | CHOLO BELU CHEAK POST PIYARAPUR 712223 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||