Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04998 | Date 29/08/2023 |
| Token No | SM/24-25/35244 06/02/2025 | Serial | 053 |
| Patient Name | Mrs. TANU DAS | Contact No | 8420005890 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||