Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05324 | Date 03/10/2023 |
| Token No | SM/22-23/13883 03/10/2023 | Serial | 056 |
| Patient Name | Mrs. AMISHA PAUL | Contact No | 9748775376 |
| Address | 13/9 NEW JHIL ROAD COSSIPORE KOLKATA 700002 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||