Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05821 | Date 09/12/2023 |
| Token No | SM/22-23/16283 09/12/2023 | Serial | 016 |
| Patient Name | Mrs. MITHU SANTRA | Contact No | 6290077602 |
| Address | RAJYADHARPUR SERAMPORE GHORAMARA 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||