Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03862 | Date 03/03/2023 |
| Token No | SM/22-23/7224 03/03/2023 | Serial | 016 |
| Patient Name | Mrs. MAYARANI DUTTA | Contact No | 8017645935 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 75 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||