Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12322 | Date 12/11/2024 |
| Token No | SM/24-25/19660 12/11/2024 | Serial | 005 |
| Patient Name | Mrs. MANGALA MONDAL | Contact No | 9073829781 |
| Address | SASHI BHUSAN GHOSH LANE, 3RD BYE LANE | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||