Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07195 | Date 27/06/2024 |
| Token No | SM/24-25/23912 27/06/2024 | Serial | 096 |
| Patient Name | Miss TIYASA DUTTA | Contact No | |
| Address | SERAMPORE | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||