Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11436 | Date 23/04/2024 |
| Token No | SM/24-25/16224 13/05/2024 | Serial | 030 |
| Patient Name | Mrs. SUSHAMA SAMANTA | Contact No | 8967560434 |
| Address | RAICHAK, PASCHIM MEDINIPUR | Age | 79 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||