Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06898 | Date 30/05/2024 |
| Token No | SM/25-26/2466 22/05/2025 | Serial | 072 |
| Patient Name | Mrs. KHUSHBU ROUTH | Contact No | 9073338115 |
| Address | RAJYADHARPUR GHORAMARA SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||