Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06745 | Date 09/05/2024 |
| Token No | SM/24-25/21702 09/05/2024 | Serial | 026 |
| Patient Name | Mrs. UMA PAL CHOWDHURY | Contact No | 9088415164 |
| Address | DAKSHIN MONDAL PARA RAJYADHARPUR SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||