Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08446 | Date 24/12/2024 |
| Token No | SM/25-26/2817 30/05/2025 | Serial | 034 |
| Patient Name | Mrs. MOUMITA GANGULY MUKHERJEE | Contact No | 8597393602 |
| Address | HARIPAL BASUDEBPUR PANCHANANTALA 712405 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||