Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06036 | Date 09/01/2024 |
| Token No | SM/22-23/17333 09/01/2024 | Serial | 010 |
| Patient Name | Mrs. SONI DEVI SHAW | Contact No | 8240776898 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/90 mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||