Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12558 | Date 22/01/2025 |
| Token No | SM/24-25/20642 22/01/2025 | Serial | 010 |
| Patient Name | Mrs. SOMA MONDAL | Contact No | 9883962085 |
| Address | NAGA BAIDYABATI MUNICIPALITY | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||