Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11418 | Date 18/04/2024 |
| Token No | SM/24-25/15873 22/04/2024 | Serial | 014 |
| Patient Name | Mrs. PURNIMA BISWAL,., | Contact No | 6290716723 |
| Address | SERAMPORE COLLEGE | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||