Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12378 | Date 23/11/2024 |
| Token No | SM/24-25/19854 23/11/2024 | Serial | 012 |
| Patient Name | Mrs. MALA SARKAR | Contact No | 7548938659 |
| Address | RAJARHAT, NEWTOWN | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||