Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05952 | Date 27/12/2023 |
| Token No | SM/24-25/23991 28/06/2024 | Serial | 075 |
| Patient Name | Mrs. RABITA KOLEY | Contact No | 8479834976 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||