Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05311 | Date 03/10/2023 |
| Token No | SM/24-25/30155 26/10/2024 | Serial | 047 |
| Patient Name | Mrs. RINKU DEVI | Contact No | 7303564483 |
| Address | 10/B HARIPARA LANE SERMPORE 712203 06 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||