Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01930 | Date 16/06/2022 |
| Token No | SM/24-25/24757 09/07/2024 | Serial | 073 |
| Patient Name | Mrs. NUPUR GAYEN | Contact No | 9681276432 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||