Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07061 | Date 20/06/2024 |
| Token No | SM/24-25/23437 20/06/2024 | Serial | 065 |
| Patient Name | Mrs. SHIBANI MODAK | Contact No | 9163778921 |
| Address | 29/E BAHIR SERAMPORE MALLICKPARA 712203 | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||