Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 04899 | Date 21/08/2023 |
| Token No | SM/22-23/12123 21/08/2023 | Serial | 059 |
| Patient Name | Mrs. NAZMA BIBI | Contact No | 7685001865 |
| Address | 19 TULSI CHARAN GOSWAMI STREET SERAMPORE 712201 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||