Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07374 | Date 05/07/2024 |
| Token No | SM/24-25/24507 05/07/2024 | Serial | 057 |
| Patient Name | Mrs. ARCHANA DAS | Contact No | 9748972849 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||