Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04724 | Date 05/08/2023 |
| Token No | SM/22-23/11404 05/08/2023 | Serial | 021 |
| Patient Name | Mrs. SUMITRA MONDAL | Contact No | 9088988003 |
| Address | BIBIRBER GHORAMARA P SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||