Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05573 | Date 03/11/2023 |
| Token No | SM/22-23/15097 03/11/2023 | Serial | 056 |
| Patient Name | Mrs. MAMATA SAHA | Contact No | 9339828195 |
| Address | 2 NO SERAMPORE COLONY SERAMPORE 712203 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||