Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04488 | Date 12/07/2023 |
| Token No | SM/22-23/10437 12/07/2023 | Serial | 017 |
| Patient Name | Mrs. KAMALA RANI SAHA | Contact No | 9332228687 |
| Address | 22/T/1 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 86 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||