Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11990 | Date 22/08/2024 |
| Token No | SM/24-25/18334 22/08/2024 | Serial | 003 |
| Patient Name | Mrs. JULIANA KUJUR | Contact No | 7029543848 |
| Address | SERAMPORE COLLEGE | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||