Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11603 | Date 03/06/2024 |
| Token No | SM/24-25/16644 03/06/2024 | Serial | 031 |
| Patient Name | Mrs. MOUMITA CHAKRABORTY MUKHERJEE | Contact No | 7980397514 |
| Address | 34/A PANCHANAN TALA LANE | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||