Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05311 | Date 17/01/2022 |
| Token No | SM/22-23/5686 19/10/2022 | Serial | 023 |
| Patient Name | Mrs. KAJAL MONDAL | Contact No | 9088818185 |
| Address | 48C/J S P MUKHERJEE SARANI | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||