Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09317 | Date 19/05/2025 |
| Token No | SM/25-26/2228 19/05/2025 | Serial | 036 |
| Patient Name | Mrs. RAJNI PRASAD | Contact No | 9883436613 |
| Address | GHORAMARA SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||