Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08316 | Date 28/11/2024 |
| Token No | SM/25-26/3847 23/06/2025 | Serial | 006 |
| Patient Name | Mrs. CHHABI LOHAR | Contact No | 8981641484 |
| Address | SHRIRAMBATI MAGURA PANDUA HOOGHLY 712149 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||