Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07343 | Date 03/07/2024 |
| Token No | SM/24-25/33471 30/12/2024 | Serial | 069 |
| Patient Name | Mrs. PINKI DEVI | Contact No | 9801710432 |
| Address | GHORAMARA SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 33 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||