Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05850 | Date 12/12/2023 |
| Token No | SM/22-23/16412 12/12/2023 | Serial | 037 |
| Patient Name | Mrs. RANJANA PAL | Contact No | 7603048038 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 190/100 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||