Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09921 | Date 09/08/2023 |
| Token No | SM/22-23/11498 09/08/2023 | Serial | 016 |
| Patient Name | Mrs. KABERI ROY | Contact No | 7278797292 |
| Address | DAKSHIN RAJYADHARPUR DASPARA | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||