Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 04680 | Date 01/08/2023 |
| Token No | SM/22-23/11205 01/08/2023 | Serial | 046 |
| Patient Name | Miss MOU MONDAL | Contact No | 9836548598 |
| Address | 223/F G T ROAD SERAMPORE 712202 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||