Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12056 | Date 04/09/2024 |
| Token No | SM/24-25/18570 04/09/2024 | Serial | 006 |
| Patient Name | Mrs. SUSMITA CHANDA | Contact No | 6289024267 |
| Address | RAMKRISHNA ROAD, BAIDYABATI | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||