Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06749 | Date 09/05/2024 |
| Token No | SM/24-25/21761 09/05/2024 | Serial | 085 |
| Patient Name | Mrs. DULA BANERJEE | Contact No | |
| Address | SERAMPORE | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||