Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 04591 | Date 24/07/2023 |
| Token No | SM/24-25/20491 03/04/2024 | Serial | 043 |
| Patient Name | Mrs. MUNMUN NANDI | Contact No | 7980603986 |
| Address | 42 L M BHATA STREET SERAMPORE 712201 | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||