Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07935 | Date 13/12/2022 |
| Token No | SM/22-23/7220 28/12/2022 | Serial | 017 |
| Patient Name | Mrs. ITI KUNDU | Contact No | 9832264659 |
| Address | 204 BANERJEE PARA | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||