Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08414 | Date 21/02/2023 |
| Token No | SM/22-23/7998 21/02/2023 | Serial | 023 |
| Patient Name | Mrs. RUPA DUTTA | Contact No | 6290723309 |
| Address | 79E N.N. ROY STREET, SERAMPORE | Age | 38 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||