Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07936 | Date 13/12/2022 |
| Token No | SM/22-23/8274 14/03/2023 | Serial | 010 |
| Patient Name | Mrs. MALATI SAHA | Contact No | 7980913624 |
| Address | SERAMPORE 3 NO COLONY | Age | 52 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||