Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06826 | Date 22/05/2024 |
| Token No | SM/24-25/22155 22/05/2024 | Serial | 036 |
| Patient Name | Mrs. BASANTI DUTTA | Contact No | 8013620271 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||