Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03377 | Date 12/12/2022 |
| Token No | SM/22-23/18738 19/02/2024 | Serial | 016 |
| Patient Name | Mrs. JYOTSNA DAS | Contact No | 6290980507 |
| Address | 15/32/B/N GODAR BAGAN BYE LANE CHATRA BAIDYABATI M 712204 | Age | 79 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||