Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09381 | Date 16/06/2023 |
| Token No | SM/22-23/10279 16/06/2023 | Serial | 015 |
| Patient Name | Mrs. SADHANA MUKHERJEE | Contact No | 9830806891 |
| Address | 27 PANDIT KALINATH BHATTACHARJEE STREET | Age | 72 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||