Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06636 | Date 05/08/2022 |
| Token No | SM/22-23/4355 05/08/2022 | Serial | 004 |
| Patient Name | Miss MONALISA ROUT | Contact No | 9330436649 |
| Address | SERAMPORE COLLEGE CAMPUS | Age | 18 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||