Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07014 | Date 15/06/2024 |
| Token No | SM/24-25/23189 15/06/2024 | Serial | 023 |
| Patient Name | Mrs. RABITA ROUTH | Contact No | 9836514750 |
| Address | GHORAMARA MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 90 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||