Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05825 | Date 09/12/2023 |
| Token No | SM/22-23/16299 09/12/2023 | Serial | 032 |
| Patient Name | Mrs. BEAUTI DUBEY | Contact No | 9330175661 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||