Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05914 | Date 20/12/2023 |
| Token No | SM/22-23/16741 20/12/2023 | Serial | 028 |
| Patient Name | Mrs. SANDHYA ROY | Contact No | 9475100476 |
| Address | BELTING BAZAR SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||