Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08369 | Date 09/12/2024 |
| Token No | SM/25-26/2590 26/05/2025 | Serial | 041 |
| Patient Name | Mrs. MINA CHAKRABORTY | Contact No | 9681293742 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||