Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 04962 | Date 26/08/2023 |
| Token No | SM/22-23/12357 26/08/2023 | Serial | 003 |
| Patient Name | Mrs. BISHNUPRIYA BISWAS | Contact No | 9874243193 |
| Address | 7/B/4 RAILAND CIRCULAR ROAD SERAMPORE 712202 | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||