Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04971 | Date 05/10/2021 |
| Token No | SM/24-25/19072 28/09/2024 | Serial | 025 |
| Patient Name | Mrs. GUNJA DEBI.. | Contact No | NOT GIVEN |
| Address | SERAMPORE | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||