Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07548 | Date 31/07/2024 |
| Token No | SM/24-25/25863 01/08/2024 | Serial | 014 |
| Patient Name | Mrs. CHHABINA BIBI | Contact No | 9733835207 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA 741404 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||