Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06049 | Date 11/01/2024 |
| Token No | SM/22-23/17400 11/01/2024 | Serial | 018 |
| Patient Name | Mrs. SOMA DEVI SINGH | Contact No | 9088574749 |
| Address | GHORAMARA MALLICKPARA SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||