Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10776 | Date 10/11/2023 |
| Token No | SM/24-25/17271 02/07/2024 | Serial | 004 |
| Patient Name | Miss SHREYA MONDAL | Contact No | 8967560434 |
| Address | THAKURBATI STREET | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||