Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07328 | Date 02/07/2024 |
| Token No | SM/24-25/24265 02/07/2024 | Serial | 069 |
| Patient Name | Mrs. GITA SHAW | Contact No | 6291646319 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||