Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08123 | Date 29/10/2024 |
| Token No | SM/24-25/30318 29/10/2024 | Serial | 039 |
| Patient Name | Mrs. MAMONI PODDER | Contact No | 8697725623 |
| Address | TALPUKUR PRAMOD PALLY SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||