Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04460 | Date 07/07/2023 |
| Token No | SM/22-23/10278 07/07/2023 | Serial | 013 |
| Patient Name | Mrs. SULEKHA KOLEY | Contact No | 7449811420 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||