Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07395 | Date 08/07/2024 |
| Token No | SM/24-25/24669 08/07/2024 | Serial | 063 |
| Patient Name | Mrs. MINA DEVI | Contact No | 7044167391 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||