Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03091 | Date 09/11/2022 |
| Token No | SM/22-23/20391 01/04/2024 | Serial | 046 |
| Patient Name | Mrs. SWAPNA DEY | Contact No | 8100494822 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||