Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07346 | Date 03/07/2024 |
| Token No | SM/25-26/11067 27/11/2025 | Serial | 020 |
| Patient Name | Mrs. PUJA RAJBHAR | Contact No | 9933032599 |
| Address | KETUGRAM BARDDHAMAN | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||