Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08480 | Date 30/12/2024 |
| Token No | SM/24-25/33436 30/12/2024 | Serial | 034 |
| Patient Name | Mrs. RADHA SINGH | Contact No | 9903453205 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||