Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05802 | Date 05/12/2023 |
| Token No | SM/24-25/29643 19/10/2024 | Serial | 020 |
| Patient Name | Mrs. LAXMI SINGH | Contact No | 9681415242 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||