Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03546 | Date 02/01/2023 |
| Token No | SM/22-23/9849 23/06/2023 | Serial | 011 |
| Patient Name | Mrs. SHIBANI SAHA | Contact No | 9007526917 |
| Address | 16 PROF K K MUKHERJEE SARANI CHATRA SERAMPORE 712204 | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||