Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06034 | Date 09/01/2024 |
| Token No | SM/22-23/17324 09/01/2024 | Serial | 001 |
| Patient Name | Mrs. DULARI DEBI RAM | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712203 | Age | 81 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||