Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12073 | Date 06/09/2024 |
| Token No | SM/24-25/18642 06/09/2024 | Serial | 012 |
| Patient Name | Mrs. RINA BANERJEE | Contact No | 9163786670 |
| Address | 46/C PANCHANANTALA LANE | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||