Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06577 | Date 01/08/2022 |
| Token No | SM/22-23/4232 01/08/2022 | Serial | 020 |
| Patient Name | Mrs. URBASHI PRADHAN | Contact No | 9836045661 |
| Address | UILLIUM CARY ROAD, SERAMPORE COLLEGE | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||