Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08003 | Date 08/10/2024 |
| Token No | SM/24-25/35934 21/02/2025 | Serial | 010 |
| Patient Name | Mrs. SAMAPTI BANERJEE | Contact No | 7365822278 |
| Address | DARBESHPUR BELER BHURKUNDA PURBA BARDHAMAN | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||