Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09239 | Date 07/05/2025 |
| Token No | SM/25-26/1669 07/05/2025 | Serial | 045 |
| Patient Name | Mrs. SUNITA ROY | Contact No | 9547011819 |
| Address | SCHOOL PARA SABDHAN UTTAR DINAJPUR 733215 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||