Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05808 | Date 07/12/2023 |
| Token No | SM/24-25/25898 01/08/2024 | Serial | 049 |
| Patient Name | Mrs. SANGITA PAL | Contact No | 8697575755 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||