Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06859 | Date 01/09/2022 |
| Token No | SM/24-25/20241 17/12/2024 | Serial | 004 |
| Patient Name | Miss JHUMA SHIL | Contact No | 6289265916 |
| Address | TALPUKUR LOKENATHPOLLY | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||