Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12366 | Date 21/11/2024 |
| Token No | SM/24-25/19817 21/11/2024 | Serial | 012 |
| Patient Name | Mrs. MANJU GHOSH | Contact No | 9330604200 |
| Address | 8 PANDIT KALINATH BHTTACHARJEE LANE | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||