Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05483 | Date 19/10/2023 |
| Token No | SM/22-23/14629 19/10/2023 | Serial | 049 |
| Patient Name | Mrs. SACHIRANI RAJBANSHI | Contact No | |
| Address | CHAKLAPARA PRAVASHNAGAR SERAMPORE 712249 | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||