Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06674 | Date 30/04/2024 |
| Token No | SM/24-25/28638 23/09/2024 | Serial | 045 |
| Patient Name | Mrs. KANAN PANJA | Contact No | 8777477002 |
| Address | FULUI FULUI HOOGHLY 712122 | Age | 72 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||