Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06490 | Date 28/03/2024 |
| Token No | SM/22-23/20382 01/04/2024 | Serial | 037 |
| Patient Name | Mrs. KRISHNA ROY | Contact No | 6291493278 |
| Address | BIBIR BER GHORAMARA P SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||