Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00130 | Date 16/09/2019 |
| Token No | SM/22-23/9791 21/06/2023 | Serial | 039 |
| Patient Name | Mrs. ARATI RANI BISWAS | Contact No | 9143335343 |
| Address | GHORAMARA CHAKLAPARA SERAMPORE 712249 | Age | 72 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||