Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09566 | Date 07/07/2023 |
| Token No | SM/22-23/10725 07/07/2023 | Serial | 005 |
| Patient Name | Miss SUSMITA PAL | Contact No | 9163504527 |
| Address | 153 THAKURBATI STREET | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||