Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09396 | Date 16/06/2023 |
| Token No | SM/22-23/10301 16/06/2023 | Serial | 037 |
| Patient Name | Mrs. GARGI MUKHERJEE | Contact No | 9038138594 |
| Address | 19 KAILASH CHATTERJEE LANE | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||