Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01827 | Date 04/06/2022 |
| Token No | SM/24-25/25643 27/07/2024 | Serial | 045 |
| Patient Name | Mrs. BABITA DEWAN | Contact No | 9432385474 |
| Address | 352/66/1/E/C R K ROAD BAIDYABATI M 712204 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||