Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06446 | Date 19/03/2024 |
| Token No | SM/24-25/35711 15/02/2025 | Serial | 036 |
| Patient Name | Mrs. MOU BHOWMICK | Contact No | 9614818224 |
| Address | MADHYA SRIRAMPUR PURBASTHALI-II BARDDHAMAN 741316 | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||