Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05457 | Date 17/10/2023 |
| Token No | SM/25-26/5306 24/07/2025 | Serial | 044 |
| Patient Name | Mrs. SIMA PAL SARKAR | Contact No | 9830717706 |
| Address | BORA BAISHNAB PARA SINGUR 712306 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||