Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07108 | Date 24/06/2024 |
| Token No | SM/24-25/33244 26/12/2024 | Serial | 038 |
| Patient Name | Mrs. KANCHAN SHAW | Contact No | 8420887492 |
| Address | RAJYADHARPUR GHORAMARA P 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||