Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09793 | Date 21/08/2025 |
| Token No | SM/25-26/7042 28/08/2025 | Serial | 051 |
| Patient Name | Mrs. SAPTAMI DAS | Contact No | 7679927987 |
| Address | ALUGRAM ALUGRAM MURSHIDABAD 742301 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||