Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12707 | Date 26/02/2025 |
| Token No | SM/24-25/21135 26/02/2025 | Serial | 013 |
| Patient Name | Mrs. ANIMA BANERJEE | Contact No | 9007405575 |
| Address | SERAMPORE NABAGRAM | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||