Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07868 | Date 07/09/2024 |
| Token No | SM/24-25/27854 07/09/2024 | Serial | 010 |
| Patient Name | Mrs. SUJATA PAUL | Contact No | 8584946178 |
| Address | 60/4/7 NASKARPARA B GARDEN HAORA 711103 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||