Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07898 | Date 13/09/2024 |
| Token No | SM/24-25/28216 13/09/2024 | Serial | 018 |
| Patient Name | Mrs. ELACHI DEBI | Contact No | 8017555686 |
| Address | GHORAMARA SERAMPORE 712203 | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||