Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12101 | Date 14/09/2024 |
| Token No | SM/24-25/18790 14/09/2024 | Serial | 003 |
| Patient Name | Mrs. GOURI CHAKRABORTY | Contact No | 8777520822 |
| Address | BARRACKPORE | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||