Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08676 | Date 06/02/2025 |
| Token No | SM/25-26/8482 24/09/2025 | Serial | 073 |
| Patient Name | Mrs. MAYA RANI MONDAL | Contact No | 9903776575 |
| Address | SATGHARA PURBAPARA SERAMPORE 712203 | Age | 79 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||