Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08286 | Date 25/11/2024 |
| Token No | SM/24-25/31762 25/11/2024 | Serial | 060 |
| Patient Name | Mrs. SHOYATA NATH | Contact No | 8100191775 |
| Address | 8 DASTI LANE SERAMPORE 712201 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||