Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12260 | Date 22/10/2024 |
| Token No | SM/24-25/20393 26/12/2024 | Serial | 015 |
| Patient Name | Mrs. AYANTIKA DAS | Contact No | 9679135990 |
| Address | TARAKESWAR HOOGHLY (7 A B MUKHERJEE LANE) | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||