Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 04974 | Date 28/08/2023 |
| Token No | SM/22-23/16001 01/12/2023 | Serial | 001 |
| Patient Name | Mrs. MINATI SAHA | Contact No | 9874728057 |
| Address | 2/237 MAHESH COLONY SERAMPORE 712202 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||