Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06550 | Date 08/04/2024 |
| Token No | SM/25-26/3370 11/06/2025 | Serial | 087 |
| Patient Name | Mrs. SUNITA MISHRA | Contact No | 7605863050 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||