Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04268 | Date 01/06/2023 |
| Token No | SM/22-23/18052 01/02/2024 | Serial | 041 |
| Patient Name | Mrs. MINATI MUKHERJEE | Contact No | |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||