Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 07017 | Date 15/06/2024 |
| Token No | SM/24-25/28586 21/09/2024 | Serial | 059 |
| Patient Name | Mrs. HAIMANTI DUTTA | Contact No | 6289401003 |
| Address | 260/1 JAIKISHNA STREET UTTARPARA 712258 | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||