Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09469 | Date 23/06/2023 |
| Token No | SM/22-23/10544 03/07/2023 | Serial | 014 |
| Patient Name | Mr. REKHA SHAW | Contact No | 9874630820 |
| Address | SERAMPORE THANA | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||