Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07594 | Date 06/08/2024 |
| Token No | SM/24-25/26112 06/08/2024 | Serial | 042 |
| Patient Name | Mrs. PUSPA RANI RAY | Contact No | 9477377439 |
| Address | TIKORHAT GODA P BARDDHAMAN 713102 | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||