Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05840 | Date 11/12/2023 |
| Token No | SM/22-23/16358 11/12/2023 | Serial | 032 |
| Patient Name | Mrs. MADHABI PAUL | Contact No | 7059844092 |
| Address | GHOSHPARA DAKSHIN RAJYADHARPUR SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||