Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08112 | Date 28/10/2024 |
| Token No | SM/24-25/30214 28/10/2024 | Serial | 033 |
| Patient Name | Mrs. MOUSUMI DUTTA HALDER | Contact No | 8013734819 |
| Address | SATGHARA PURBAPARA PANDIT SATGHARA MALLICKPARA 712203 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||