Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08555 | Date 16/01/2025 |
| Token No | SM/24-25/34172 16/01/2025 | Serial | 012 |
| Patient Name | Mrs. REBA DAS | Contact No | 7370086323 |
| Address | BANTIKA ROYPARA BOINCHEE PANDUA 712134 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||