Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07275 | Date 17/10/2022 |
| Token No | SM/24-25/15765 15/04/2024 | Serial | 046 |
| Patient Name | Mrs. BIJALI GHOSH | Contact No | 8017115510 |
| Address | 256,66/1/D RAMKRISHNA ROAD, BAIDYABATI(M) | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||