Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07512 | Date 04/11/2022 |
| Token No | SM/22-23/6012 04/11/2022 | Serial | 009 |
| Patient Name | Mrs. SOUMITA MAHALANABISH | Contact No | 9038081454 |
| Address | 623 G T ROAD, SERAMPORE | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||