Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06901 | Date 30/05/2024 |
| Token No | SM/24-25/22530 30/05/2024 | Serial | 049 |
| Patient Name | Mrs. PUTUL DUTTA | Contact No | 9874499029 |
| Address | 93 G T ROAD KONNAGAR M 712235 | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||