Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09579 | Date 16/07/2025 |
| Token No | SM/25-26/4808 16/07/2025 | Serial | 065 |
| Patient Name | Mrs. KRISHNA RANI ADAK | Contact No | 8170064781 |
| Address | KADUA WEST MANIKABASAN MEDINIPUR | Age | 71 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 128/75 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||