Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12391 | Date 25/11/2024 |
| Token No | SM/24-25/19885 25/11/2024 | Serial | 031 |
| Patient Name | Mrs. MALA SARKAR | Contact No | 8967560434 |
| Address | RAJARHAT, NEWTOWN | Age | 55 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||