Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09072 | Date 16/05/2023 |
| Token No | SM/24-25/16351 17/05/2024 | Serial | 021 |
| Patient Name | Mrs. KAKALI MONDAL | Contact No | 8981194322 |
| Address | CHATRA POTIPARA, SERAMPORE | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||