Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05520 | Date 30/10/2023 |
| Token No | SM/22-23/14806 30/10/2023 | Serial | 027 |
| Patient Name | Mrs. RAMPARI DEVI | Contact No | 9339665063 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||