Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08089 | Date 23/10/2024 |
| Token No | SM/24-25/30005 23/10/2024 | Serial | 077 |
| Patient Name | Mrs. AYESHA BEGAM | Contact No | 7998185770 |
| Address | BAHARAMPUR BARA KAMALPUR SINGUR 712306 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||