Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06622 | Date 24/04/2024 |
| Token No | SM/24-25/29616 18/10/2024 | Serial | 039 |
| Patient Name | Mrs. SANJU DEVI | Contact No | 8481091913 |
| Address | GHORAMARA PURBAPARA MALLICKPARA SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||