Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01655 | Date 25/05/2022 |
| Token No | SM/22-23/6501 02/02/2023 | Serial | 024 |
| Patient Name | Mrs. SARASWATI DUTTA | Contact No | 9007082827 |
| Address | 29A MALLICKPARA SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||