Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08110 | Date 04/01/2023 |
| Token No | SM/22-23/11645 16/08/2023 | Serial | 018 |
| Patient Name | Mrs. SOBHA DUTTA | Contact No | 8334928134 |
| Address | 3A BRAJA DUTTA LANE | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||