Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09964 | Date 14/08/2023 |
| Token No | SM/22-23/11616 14/08/2023 | Serial | 026 |
| Patient Name | Mrs. SUSMITA DUTTA | Contact No | 9062158455 |
| Address | 30 BARAL BAGAN LANE | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||