Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06338 | Date 13/07/2022 |
| Token No | SM/22-23/3838 13/07/2022 | Serial | 008 |
| Patient Name | Mrs. NILIMA PAL CHOWDHURY | Contact No | 9875855520 |
| Address | SERAMPORE COLLEGE | Age | 44 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||