Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10714 | Date 01/11/2023 |
| Token No | SM/24-25/16619 03/06/2024 | Serial | 006 |
| Patient Name | Mrs. KAKALI CHATTERJEE | Contact No | 8583024946 |
| Address | 32/A PANCHANAN TALA LANE | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||