Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03573 | Date 04/01/2023 |
| Token No | SM/25-26/4791 16/07/2025 | Serial | 048 |
| Patient Name | Mrs. PUJA KUMARI | Contact No | 8252336376 |
| Address | SATGHARA P SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||