Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05354 | Date 06/10/2023 |
| Token No | SM/25-26/6850 25/08/2025 | Serial | 084 |
| Patient Name | Mrs. RUMU JANA | Contact No | 9635093825 |
| Address | BHAGWANPUR PURBA MEDINIPUR 721601 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 145/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||