Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05537 | Date 31/10/2023 |
| Token No | SM/22-23/14889 31/10/2023 | Serial | 025 |
| Patient Name | Mrs. MALATI ADDYA | Contact No | 8820382303 |
| Address | MADPUR BHANDARI BUS STOP SERAMPORE 712203 | Age | 64 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||