Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01808 | Date 01/06/2022 |
| Token No | SM/24-25/32943 18/12/2024 | Serial | 044 |
| Patient Name | Mrs. REBATI DEY | Contact No | 9331097943 |
| Address | PURBAPARA GHORAMARA SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||