Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00213 | Date 21/09/2019 |
| Token No | SM/24-25/27278 28/08/2024 | Serial | 018 |
| Patient Name | Mrs. SHIPRA DAS | Contact No | 9088142803 |
| Address | PANDIT SATGHARA SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||