Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07894 | Date 12/09/2024 |
| Token No | SM/24-25/28182 12/09/2024 | Serial | 060 |
| Patient Name | Mrs. PAYEL DAS | Contact No | 6291004654 |
| Address | KOJALSA SRIGRAM KETUGRAM I BARDDHAMAN 713129 | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||