Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08003 | Date 08/10/2024 |
| Token No | SM/24-25/32551 09/12/2024 | Serial | 093 |
| Patient Name | Mrs. SAMAPTI BANERJEE | Contact No | 7365822278 |
| Address | DARBESHPUR BELER BHURKUNDA PURBA BARDHAMAN | Age | 31 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||