Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06056 | Date 13/01/2024 |
| Token No | SM/22-23/17871 29/01/2024 | Serial | 035 |
| Patient Name | Mrs. PURNIMA DUTTA | Contact No | 7278114971 |
| Address | PANDIT SATGHARA MALLICKPARA 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||