Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07816 | Date 04/09/2024 |
| Token No | SM/24-25/27639 04/09/2024 | Serial | 022 |
| Patient Name | Mrs. KALPANA BHOWMICK | Contact No | 9088372212 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||