Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05942 | Date 27/12/2023 |
| Token No | SM/22-23/16912 27/12/2023 | Serial | 001 |
| Patient Name | Mrs. MAHAMAYA SARKAR | Contact No | 6291748203 |
| Address | MUKUNDAKATI NORTH 24 PARGANAS 743292 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||