Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08736 | Date 15/02/2025 |
| Token No | SM/24-25/35687 15/02/2025 | Serial | 012 |
| Patient Name | Mrs. PAMPA SAHA | Contact No | 9874457172 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||