Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12136 | Date 23/09/2024 |
| Token No | SM/24-25/18962 23/09/2024 | Serial | 041 |
| Patient Name | Mrs. SOMA SETT | Contact No | 9433066725 |
| Address | 10C CHATTERJEE LANE | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||