Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05976 | Date 30/12/2023 |
| Token No | SM/22-23/17075 30/12/2023 | Serial | 027 |
| Patient Name | Mrs. SANGITA DEVI | Contact No | 9934687473 |
| Address | TARAPUKUR GOVT COLONY | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||