Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08685 | Date 07/02/2025 |
| Token No | SM/24-25/35315 07/02/2025 | Serial | 027 |
| Patient Name | Mrs. SABITA SAHA | Contact No | 9830392411 |
| Address | 2 GOLAK MUNSHI PARA NABAGRAM 712246 | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||