Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05112 | Date 26/11/2021 |
| Token No | SM/24-25/16375 21/05/2024 | Serial | 014 |
| Patient Name | Mrs. MANJU MUKHERJEE | Contact No | 8936661056 |
| Address | 153 THAKUR BATI STREET | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||