Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 01593 | Date 19/01/2019 |
| Token No | SM/22-23/14875 21/02/2024 | Serial | 044 |
| Patient Name | Mrs. KAKALI MUKHERJEE | Contact No | 9836290644 |
| Address | DOSTI LANE | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||