Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 02820 | Date 29/09/2022 |
| Token No | SM/22-23/9197 30/05/2023 | Serial | 016 |
| Patient Name | Mrs. TABASSUM KHATUN | Contact No | 9681692562 |
| Address | 13 K M BHATTACHARYA STREET SERAMPORE 712201 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||