Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00043 | Date 07/09/2019 |
| Token No | SM/22-23/19113 27/02/2024 | Serial | 030 |
| Patient Name | Mrs. GITA DEVI SHAW | Contact No | 8100585081 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||