Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06914 | Date 01/06/2024 |
| Token No | SM/24-25/22613 01/06/2024 | Serial | 034 |
| Patient Name | Mrs. MINAKSHI DAS | Contact No | 9123754952 |
| Address | E/28 GOVT QUARTER G T ROAD BAIDYABATI M 712222 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||