Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06938 | Date 06/09/2022 |
| Token No | SM/22-23/4915 06/09/2022 | Serial | 030 |
| Patient Name | Mrs. LALDAYA DEBI | Contact No | NOT GIVEN |
| Address | SERAMPORE | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||