Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02609 | Date 02/09/2022 |
| Token No | SM/24-25/26390 10/08/2024 | Serial | 001 |
| Patient Name | Mrs. MAYARANI SAHA | Contact No | 8116768337 |
| Address | MAYNAMAPARA MAYNAGURI JALPAIGURI 735224 | Age | 74 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||