Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 11507 | Date 10/05/2024 |
| Token No | SM/24-25/16171 10/05/2024 | Serial | 002 |
| Patient Name | Miss SAYANI MOULICK | Contact No | 7439265383 |
| Address | MAHESH SERAMPORE | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||