Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11843 | Date 24/07/2024 |
| Token No | SM/24-25/17710 24/07/2024 | Serial | 012 |
| Patient Name | Miss MOUSRI DUTTA | Contact No | 7278599350 |
| Address | SINGUR | Age | 26 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||