Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07491 | Date 20/07/2024 |
| Token No | SM/24-25/25244 20/07/2024 | Serial | 010 |
| Patient Name | Mrs. JAYA DUTTA | Contact No | 7890582294 |
| Address | 213 PRAVASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||