Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11122 | Date 08/02/2024 |
| Token No | SM/22-23/14689 08/02/2024 | Serial | 038 |
| Patient Name | Miss SRIJANI M0NDAL | Contact No | 7430080390 |
| Address | 49A S.P. MUKHERJEE SARANI | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||