Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06517 | Date 02/04/2024 |
| Token No | SM/24-25/20446 02/04/2024 | Serial | 044 |
| Patient Name | Mrs. MALATI SADHUKHAN | Contact No | 9163000158 |
| Address | MALLICKPARA PURBA RAJYADHARPUR GHORAMARA 712203 | Age | 79 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||