Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11223 | Date 04/03/2024 |
| Token No | SM/25-26/2505 04/11/2025 | Serial | 002 |
| Patient Name | Mrs. TANUJA MUKHERJEE | Contact No | 7278735433 |
| Address | 2/A A.B. MUKHERJEE LANE | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||