Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08394 | Date 20/02/2023 |
| Token No | SM/22-23/11113 21/07/2023 | Serial | 016 |
| Patient Name | Mrs. TAPASI DAS | Contact No | 6289183989 |
| Address | BAHIR SERAMPORE | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||