Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07892 | Date 12/09/2024 |
| Token No | SM/24-25/28148 12/09/2024 | Serial | 026 |
| Patient Name | Mrs. SONALI SIL | Contact No | 9088336698 |
| Address | RAMKRISHNA PALLY DAKSHIN RAJYADHARPUR MALLICKPARA SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||