Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04134 | Date 03/05/2023 |
| Token No | SM/22-23/16745 20/12/2023 | Serial | 032 |
| Patient Name | Mrs. SURAVI ROY | Contact No | 9836707991 |
| Address | 1 NO PILKHANA LANE SARBA MANGALA PARA BARDDHAMAN 713101 | Age | 69 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||