Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07148 | Date 26/06/2024 |
| Token No | SM/24-25/23791 26/06/2024 | Serial | 067 |
| Patient Name | Mrs. RAM KUMARI DEVI | Contact No | 8481091913 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||