Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06563 | Date 13/04/2024 |
| Token No | SM/24-25/36371 04/03/2025 | Serial | 026 |
| Patient Name | Mrs. NIGITA RAI | Contact No | 7890809948 |
| Address | CHAKLAPARA PRAVASHNAGAR SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||