Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01643 | Date 23/05/2022 |
| Token No | SM/22-23/10266 07/07/2023 | Serial | 001 |
| Patient Name | Mrs. MINATI DAS | Contact No | 7059370578 |
| Address | 72A/10 D N BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 59 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||