Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 04116 | Date 28/04/2023 |
| Token No | SM/22-23/12963 11/09/2023 | Serial | 043 |
| Patient Name | Mrs. NAMITA SANYAL | Contact No | 7439738322 |
| Address | 1/338 MAHESH COLONY SERAMPORE 712202 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||