Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06055 | Date 13/01/2024 |
| Token No | SM/22-23/18365 08/02/2024 | Serial | 060 |
| Patient Name | Mrs. SUMITRA DEBI | Contact No | 7278114971 |
| Address | PURBAPARA PANDIT SATGHARA 712203 | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||