Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12262 | Date 24/10/2024 |
| Token No | SM/24-25/19442 24/10/2024 | Serial | 003 |
| Patient Name | Mrs. MAMATA BANERJEE | Contact No | |
| Address | NEAR HOLIHOME SCHOOL | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||