Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 05406 | Date 10/02/2022 |
| Token No | SM/21-22/2121 10/02/2022 | Serial | 001 |
| Patient Name | Mrs. PURNIMA GHOSH | Contact No | 8478909117 |
| Address | 72 K M SHA STREET | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||