Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07109 | Date 22/09/2022 |
| Token No | SM/24-25/17670 22/07/2024 | Serial | 012 |
| Patient Name | Mrs. BABY MUKHERJEE.. | Contact No | NOT GIVEN |
| Address | BORGACHHIYA | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||