Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08034 | Date 27/12/2022 |
| Token No | SM/22-23/7195 27/12/2022 | Serial | 039 |
| Patient Name | Mrs. MADHURI ROY | Contact No | 6289278988 |
| Address | SERAMPORE 4 NO. COLOMY | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||