Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11294 | Date 16/03/2024 |
| Token No | SM/22-23/15359 20/03/2024 | Serial | 012 |
| Patient Name | Mrs. SUCHITRA MONDAL | Contact No | 9775072257 |
| Address | DASPUR, PASCHIM MEDINIPUR | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||