Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04715 | Date 04/08/2023 |
| Token No | SM/22-23/11351 04/08/2023 | Serial | 046 |
| Patient Name | Mrs. JUTHIKA DEY | Contact No | 9330521572 |
| Address | 44 SERAMPORE COLONY SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||