Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05503 | Date 08/03/2022 |
| Token No | SM/21-22/2347 08/03/2022 | Serial | 013 |
| Patient Name | Mrs. SARMISTHA BAGUI | Contact No | 9830684067 |
| Address | 59/A SERAMPORE KALITALA | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||