Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07329 | Date 02/07/2024 |
| Token No | SM/24-25/24267 02/07/2024 | Serial | 071 |
| Patient Name | Miss ROSHNI KUMARI | Contact No | 9163960053 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||