Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03327 | Date 05/12/2022 |
| Token No | SM/24-25/35121 05/02/2025 | Serial | 013 |
| Patient Name | Mrs. BISHAKHA MANNA | Contact No | 9123780283 |
| Address | CHOTO BELU SERAMPORE 712203 | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||