Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06439 | Date 18/03/2024 |
| Token No | SM/22-23/19905 18/03/2024 | Serial | 002 |
| Patient Name | Mrs. NIVARANI MAITY | Contact No | 9088657182 |
| Address | BALICHAK HARIHARPUR PASCHIM MEDNIPUR 721124 | Age | 58 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||