Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06053 | Date 11/01/2024 |
| Token No | SM/22-23/17761 25/01/2024 | Serial | 009 |
| Patient Name | Mrs. CHAMPA DEVI SHARMA | Contact No | 8478052093 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 71 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||