Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 06188 | Date 05/02/2024 |
| Token No | SM/22-23/18212 05/02/2024 | Serial | 069 |
| Patient Name | Mrs. RATNA PAL | Contact No | 9433576510 |
| Address | 94 KHATIR BAZAR LANE SERAMPORE 712202 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||