Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05385 | Date 10/10/2023 |
| Token No | SM/22-23/14176 10/10/2023 | Serial | 010 |
| Patient Name | Mrs. BANDANA GHOSH | Contact No | 7439617887 |
| Address | MALLICKPARA LANE SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||