Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06179 | Date 05/02/2024 |
| Token No | SM/22-23/18532 12/02/2024 | Serial | 013 |
| Patient Name | Mrs. BAKUL MISTRI | Contact No | 9163006790 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 160/80 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||