Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 10710 | Date 01/11/2023 |
| Token No | SM/22-23/13125 01/11/2023 | Serial | 012 |
| Patient Name | Mrs. SUBHANNITA PAL | Contact No | 7987688842 |
| Address | BOTTALA, SERAMPORE | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||