Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12167 | Date 30/09/2024 |
| Token No | SM/24-25/19106 30/09/2024 | Serial | 030 |
| Patient Name | Mrs. HIRA MUKHERJEE | Contact No | 7003852650 |
| Address | CHATRA BAGER BAGAN | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||