Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08346 | Date 04/12/2024 |
| Token No | SM/24-25/35624 13/02/2025 | Serial | 031 |
| Patient Name | Mrs. ANSURA BEGAM | Contact No | |
| Address | PAMPA NAGAR NABAGRAM BAIDYABATI M 712201 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||