Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07282 | Date 01/07/2024 |
| Token No | SM/24-25/24130 01/07/2024 | Serial | 039 |
| Patient Name | Mrs. SABITA MONDAL | Contact No | 9679336716 |
| Address | DAKSHIN CHANDRA HOOGHLY 712514 | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||