Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00682 | Date 07/01/2020 |
| Token No | SM/22-23/19995 19/03/2024 | Serial | 031 |
| Patient Name | Mrs. BULU BISWAS | Contact No | 9051507379 |
| Address | GODAR BAGAN BAIDYABATI M CHATRA 712204 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||